Individual
INEZ BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1138 VILLAGE CRK, JONESBORO, GA 30238-7967
(678) 665-7216
Mailing address
1138 VILLAGE CRK, JONESBORO, GA 30238-7967
(678) 665-7216
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014205430
GA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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