Denicia Jackson Mulkey
Technician, Attendant Care Provider in Albany, GA. Individual provider (NPI-1).
NPI number1447927330
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1447927330
- Entity type
- Individual (NPI-1)
- Name
- Denicia Jackson Mulkey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2021
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
528 Cordele RdAlbany, GA 31705-2112
Phone 229-296-2750
Mailing address
528 Cordele RdAlbany, GA 31705-2112
Phone 229-296-2750
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