Keanna Lassiter/mathis

NPI #1861385387 in Hampton, Georgia

Provider Information

NPI Number: 1861385387
Entity Type: Individual
Name: Keanna Lassiter/mathis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jun 2, 2025
Last Updated: Jun 2, 2025

Practice Location

Address: 580 CALEDON WAY
City: Hampton
State: Georgia
ZIP Code: 30228-5338
Phone: (229) 942-4697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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