KANDIS HEASLIP

BRASELTON, GA
NPI1649875485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156F00000X Technician/Technologist
Additional Taxonomies156FX1900X Technician/Technologist, Orthoptist
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
KANDIS HEASLIP OTC
170 ASHWOOD LN
BRASELTON, GA 30517-2130
Phone number: 678-665-9024
Mailing Address
KANDIS HEASLIP OTC
170 ASHWOOD LN
BRASELTON, GA 30517-2130
Phone number: 678-665-9024
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