Gwendolyn Abe De Leon, | |
205 Roadrunner Blvd, La Fayette, GA 30728-2161 | |
(706) 638-4664 | |
Not Available |
Full Name | Gwendolyn Abe De Leon |
---|---|
Gender | Female |
Speciality | Registered Nurse - Rehabilitation |
Location | 205 Roadrunner Blvd, La Fayette, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083405773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WR0400X | Registered Nurse - Rehabilitation | 615507 (New York) | Primary |
Mailing Address | Practice Location Address |
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Gwendolyn Abe De Leon, 7204 Fairbanks Rd, Hixson, TN 37343-2409 Ph: () - | Gwendolyn Abe De Leon, 205 Roadrunner Blvd, La Fayette, GA 30728-2161 Ph: (706) 638-4664 |
Bonnie Lynn Rose, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 806 E Villanow St, La Fayette, GA 30728 Phone: 706-639-2108 | |
Debra Ann Shepherd, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-639-2071 |