Individual
NANCY LARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
4309 DERBYSHIRE TRCE SE, CONYERS, GA 30094-4258
(678) 751-7785
Mailing address
4309 DERBYSHIRE TRCE SE, CONYERS, GA 30094-4258
(678) 751-7785
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
765977
MS
Other
Enumeration date
08/09/2012
Last updated
10/23/2012
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