STEVEN LAFAYETTE

MOULTRIE, GA
NPI1366262792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-11
Last Update Date2024-10-11
Business Address
STEVEN LAFAYETTE
2050 TALLOKAS RD
MOULTRIE, GA 31768-7666
Phone number: 229-869-4109
Mailing Address
STEVEN LAFAYETTE
334 THOROUGHBRED LN
MACON, GA 31216-7385
Phone number: 229-869-4109