ASHLEIGH DERISO

AUGUSTA, GA
NPI1003064734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  075313)
Enumeration Date2008-09-06
Last Update Date2008-09-06
Business Address
-- ASHLEIGH DERISO
1727 WRIGHTSBORO RD SUITE B
AUGUSTA, GA 30904-4074
Phone number: 706-736-8170
Mailing Address
-- ASHLEIGH DERISO
7377 CLARKS MILL RD
LOUISVILLE, GA 30434-4102
Phone number: 706-699-4585