Individual
YOLANDA P THREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
478 NORTHDALE RD STE 201, LAWRENCEVILLE, GA 30046-8902
(770) 299-1378
Mailing address
6994 HIGHWAY 81, MONROE, GA 30656-6100
(678) 223-5519
(678) 878-4636
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN094434
GA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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