Individual
JANAY LASHAUNDA WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT SPE
Contact information
Practice address
5437 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3213
(678) 515-7523
Mailing address
5437 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3213
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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