Individual
KEONDRA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HARRISBURG RD SW, MILLEDGEVILLE, GA 31061-4508
(478) 744-1429
Mailing address
115 ASPEN DR, MACON, GA 31216-5555
(478) 744-1429
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
03/21/2023
Last updated
03/22/2023
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