LYDIA GENNIE

BAINBRIDGE, GA
NPI1689287641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5214585)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
LYDIA GENNIE LPN
1004 SHORELINE DR
BAINBRIDGE, GA 39817-8393
Phone number: 850-363-8735
Mailing Address
LYDIA GENNIE LPN
1004 SHORELINE DR
BAINBRIDGE, GA 39817-8393
Phone number: 850-363-8735
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