Individual
LORETTA PAULETTE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4915 US HIGHWAY 17, LOT B 27, RICHMOND HILL, GA 31324-8808
(912) 713-5151
Mailing address
PO BOX 2845, RICHMOND HILL, GA 31324-2845
(912) 713-5151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
013425-22
NH
164W00000X
Licensed Practical Nurse
Primary
LPN063099
GA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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