Individual
SHALONDA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26A BRYANT ST, STATESBORO, GA 30458-5345
(404) 668-4138
Mailing address
26A BRYANT ST, STATESBORO, GA 30458-5345
(404) 668-4138
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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