Individual
KANEESHA ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 RIVERDALE RD, ATLANTA, GA 30349-6129
(678) 670-7774
Mailing address
11085 LANDON WAY, HAMPTON, GA 30228-4058
(678) 670-7774
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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