Individual
LORETTA BREIONNE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 N PATTERSON ST APT 1, VALDOSTA, GA 31602-2976
(229) 406-9861
Mailing address
1704 N PATTERSON ST APT 1, VALDOSTA, GA 31602-2976
(229) 406-9861
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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