Individual
KESHIA HUTCHINSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 COCHRAN XING, MCDONOUGH, GA 30252-8072
(678) 643-2090
(678) 583-2090
Mailing address
1339 COCHRAN XING, MCDONOUGH, GA 30252-8072
(678) 643-2090
(678) 583-2090
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
075R1303
GA
376K00000X
Nurse's Aide
—
GA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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