JAYLEN LEANDRE HOLMES

LAWRENCEVILLE, GA
NPI1053128637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: GA  060490575)
Enumeration Date2024-12-17
Last Update Date2024-12-17
Business Address
JAYLEN LEANDRE HOLMES
579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045-3525
Phone number: 317-476-1877
Mailing Address
JAYLEN LEANDRE HOLMES
579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045-3525
Phone number: 317-476-1877
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