GLENN DALE MORAGNE

CONYERS, GA
NPI1346285020
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN037929)
Enumeration Date2006-06-18
Last Update Date2007-07-08
Business Address
GLENN DALE MORAGNE LPN
2808 HAVENWOOD DR
CONYERS, GA 30094-8005
Phone number: 770-761-6502
Mailing Address
GLENN DALE MORAGNE LPN
2808 HAVENWOOD DR
CONYERS, GA 30094-8005
Phone number: 770-294-6502