Jackquelyn Countee

NPI #1104544162 in Valdosta, Georgia

Provider Information

NPI Number
1104544162
Entity Type
Individual
Name
Jackquelyn Countee
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Driver
Enumeration Date
Aug 16, 2022
Last Updated
Aug 16, 2022

Practice Location

Address
805 LAUSANNE DR
State
Georgia
ZIP Code
31601-4152
Phone
(678) 245-9472

Specialties & Taxonomy Codes

Specialty
Driver

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