LADEIDRA NICOLE WOOTEN

LOGANVILLE, GA
NPI1912770249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: GA  RN243005)
Additional Taxonomies163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)
(Licence: GA  MT013436)
Enumeration Date2023-10-30
Last Update Date2023-10-30
Business Address
LADEIDRA NICOLE WOOTEN RN
412 CONYERS RD
LOGANVILLE, GA 30052-2650
Phone number: 770-778-1702
Mailing Address
LADEIDRA NICOLE WOOTEN RN
412 CONYERS RD
LOGANVILLE, GA 30052-2650
Phone number: 770-778-1702