Evita Hanayo Renfroe, LPN | |
22 Collins Run Dr, Dallas, GA 30157-0207 | |
(770) 344-9607 | |
(770) 344-9607 |
Full Name | Evita Hanayo Renfroe |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 22 Collins Run Dr, Dallas, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821985540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN073238 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Evita Hanayo Renfroe, LPN 22 Collins Run Dr, Dallas, GA 30157-0207 Ph: (770) 344-9607 | Evita Hanayo Renfroe, LPN 22 Collins Run Dr, Dallas, GA 30157-0207 Ph: (770) 344-9607 |
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