ANGEL PROVOST

LAWRENCEVILLE, GA
NPI1932831823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN238287)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
ANGEL PROVOST RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
ANGEL PROVOST RN
2317 DEERFIELD CHASE SE
CONYERS, GA 30013-6307
Phone number:
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