Rosa L Borden

NPI #1497311401 in Vienna, Georgia

Provider Information

NPI Number
1497311401
Entity Type
Individual
Name
Rosa L Borden
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
May 15, 2019
Last Updated
May 15, 2019

Practice Location

Address
607 S 5TH ST
City
Vienna
State
Georgia
ZIP Code
31092-1529
Phone
(478) 244-4351

Specialties & Taxonomy Codes

Specialty
Contractor

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