NPI 1003510108

Wilermina Lacroix

Practitioner Student in an Organized Health Care Education/Training Program Jonesboro, GA

Practice location

Address: 9529 S Main St, Jonesboro, GA 30236-8708
Phone: (631) 639-8860

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003510108
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2023
Record last updated: 30 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.