SHANDIS DENISE PHANEUF

COLUMBUS, GA
NPI1477185791
Professional NameSHANDIS DENISE PHANEUF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  Lon066099)
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
Mrs. SHANDIS DENISE PHANEUF LPN
6545 GREGG DR
COLUMBUS, GA 31909
Phone number: 334-663-4278
Mailing Address
Mrs. SHANDIS DENISE PHANEUF LPN
6545 GREGG DR
COLUMBUS, GA 31909-3273
Phone number: 334-663-4278
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