Individual
VANIECE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6796 MAHONIA PL, LITHONIA, GA 30038-7537
(678) 656-0310
Mailing address
6796 MAHONIA PL, LITHONIA, GA 30038-7537
(678) 656-0310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN082098
GA
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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