INGA DEMETRIA PAULK- JOHNSON

STATESBORO, GA
NPI1639338684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN055280)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
-- INGA DEMETRIA PAULK- JOHNSON LPN
115 LEE ST
STATESBORO, GA 30458-2102
Phone number: 912-764-5884
Mailing Address
-- INGA DEMETRIA PAULK- JOHNSON LPN
115 LEE STREET
STATESBORO, GA 30458
Phone number: 912-764-5884