JENO R LIANGCO

AUGUSTA, GA
NPI1184476517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN293270)
Enumeration Date2024-04-01
Last Update Date2024-07-19
Business Address
JENO R LIANGCO
989 SAINT SEBASTIAN WAY
AUGUSTA, GA 30912-2613
Phone number: 706-721-2171
Mailing Address
JENO R LIANGCO
1120 15TH ST # OR6000
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813