MRS. Keishanna Bernae' Anthony, BA, PP

NPI #1548736630 in Valdosta, Georgia

Provider Information

NPI Number: 1548736630
Entity Type: Individual
Name: MRS. Keishanna Bernae' Anthony, BA, PP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: BA, PP
Enumeration Date: Oct 16, 2018
Last Updated: Oct 16, 2018

Practice Location

Address: 1463 JONES AVE
City: Valdosta
State: Georgia
ZIP Code: 31601-4294
Phone: (770) 354-2382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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