Kendra C Haynes Nugent
Technician, Attendant Care Provider in Powder Springs, GA. Individual provider (NPI-1).
NPI number1124678867
StatusActive
Last updated in NPPESSep 15, 2019
Details
- NPI
- 1124678867
- Entity type
- Individual (NPI-1)
- Name
- Kendra C Haynes Nugent
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2019
- Last updated
- Sep 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
89 Windriver TrlPowder Springs, GA 30127-8714
Phone 631-553-1210
Mailing address
89 Windriver TrlPowder Springs, GA 30127-8714
Phone 631-553-1210
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