Individual
WYNTER DIONDRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 HENSLEY RD, GREENSBORO, GA 30642-1905
(706) 817-6030
Mailing address
1101 HENSLEY RD, GREENSBORO, GA 30642-1905
(706) 817-6030
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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