NPI 1831650761

Sandra Desilva, CNA

Practitioner Private Vehicle Covington, GA

Practice location

Address: 225 Lazy Hollow Ln, Covington, GA 30016-4504
Phone: (631) 338-3478

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 059313640 (GA)

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Registry record

NPI: 1831650761
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2019
Record last updated: 25 Mar 2019

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.