LADAWN JERVANICKIO HALL

COVINGTON, GA
NPI1598099509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
Additional Taxonomies373H00000X Day Training/Habilitation Specialist
374700000X Technician
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
-- LADAWN JERVANICKIO HALL
2131 PACE ST
COVINGTON, GA 30014-6652
Phone number: 678-999-6416
Mailing Address
-- LADAWN JERVANICKIO HALL
2131 PACE ST
COVINGTON, GA 30014-6652
Phone number: 678-999-6416