KISHA NICHELLA WISE

LAWRENCEVILLE, GA
NPI1942217393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  lpn071397)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Mrs. KISHA NICHELLA WISE lpn
370 MADELINE CIR
LAWRENCEVILLE, GA 30043-3527
Phone number: 770-339-8057
Mailing Address
Mrs. KISHA NICHELLA WISE lpn
370 MADELINE CIR
LAWRENCEVILLE, GA 30043-3527
Phone number: 770-339-8057
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