Individual
ANGELA KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 COBB RD, WARTHEN, GA 31094-3525
(478) 206-8403
Mailing address
345 COBB RD, WARTHEN, GA 31094-3525
(478) 206-8403
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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