Kizzie Idella Enoch

NPI #1992763890 in Hiram, Georgia

Provider Information

NPI Number
1992763890
Entity Type
Individual
Name
Kizzie Idella Enoch
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 2, 2006
Last Updated
Mar 6, 2013

Practice Location

Address
130 BIRCH ST
City
Hiram
State
Georgia
ZIP Code
30141-4171
Phone
(770) 367-5357

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse
Licensed Practical Nurse

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