THERESA STEVENS

FORT STEWART, GA
NPI1780086348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN068372)
Enumeration Date2014-09-25
Last Update Date2014-09-25
Business Address
-- THERESA STEVENS
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 195-435-9265
Mailing Address
-- THERESA STEVENS
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 195-435-9265