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MRS. FELICIA RENA CLEMMONS CMA

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1750853263

Individual Registrant:
MRS. FELICIA RENA CLEMMONS CMA
Gender: F
Sole Proprietor

Location and contact information for practice:
814 BEECH VALLEY RD  LITHIA SPRINGS, GA 30122-2526 US
Tel: 404-971-6374  Fax: 678-398-2415

Contact information for business:
814 BEECH VALLEY RD  LITHIA SPRINGS, GA 30122-2526 US
Tel: 404-971-6374  Fax: 678-398-2415

Registration Information:
NPI: 1750853263
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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