KIMBERLY LYNN RIDALL-VILLAGOMEZ

JACKSON, GA
NPI1043986748
Former NameKIMBERLY LYNN RIDALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor School
Enumeration Date2021-08-22
Last Update Date2021-08-22
Business Address
KIMBERLY LYNN RIDALL-VILLAGOMEZ MED
771 BROWNLEE RD
JACKSON, GA 30233-2413
Phone number: 910-920-7357
Mailing Address
KIMBERLY LYNN RIDALL-VILLAGOMEZ MED
771 BROWNLEE RD
JACKSON, GA 30233-2413
Phone number: 910-920-7357