Individual
SHUNDRIKUS POSTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 ASHLEY LAKES DR, NORCROSS, GA 30092-5630
(678) 200-2548
Mailing address
815 ASHLEY LAKES DR, NORCROSS, GA 30092-5630
(678) 200-2548
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028834575
GA
Other
Enumeration date
03/18/2009
Last updated
11/04/2010
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