IRIS DENISE FORDHAM

AUGUSTA, GA
NPI1164616694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN040000)
Enumeration Date2007-08-28
Last Update Date2007-08-28
Business Address
MS. IRIS DENISE FORDHAM LPN
950 LANEY WALKER BLVD
AUGUSTA, GA 30901-2960
Phone number: 706-721-5931
Mailing Address
MS. IRIS DENISE FORDHAM LPN
950 LANEY WALKER BLVD
AUGUSTA, GA 30901-2960
Phone number: 706-721-5931
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