Chanda Agee, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fayetteville, GA

NPI

1992257398

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

LPN091514 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2016-11-01

Last updated

2016-11-01