NPI | 1942538889 |
---|---|
Former Name | LORETTA PAULETTE STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN063099) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 013425-22) |
Enumeration Date | 2009-12-04 |
Last Update Date | 2009-12-04 |