KEISHANNA BERNAE' ANTHONY

VALDOSTA, GA
NPI1548736630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: GA  056311378)
Enumeration Date2018-10-16
Last Update Date2018-10-16
Business Address
MRS. KEISHANNA BERNAE' ANTHONY BA, PP
1463 JONES AVE
VALDOSTA, GA 31601-4294
Phone number: 770-354-2382
Mailing Address
MRS. KEISHANNA BERNAE' ANTHONY BA, PP
1463 JONES AVE
VALDOSTA, GA 31601-4294
Phone number: 770-354-2382