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Sandra Desilva, CNA
Private Vehicle in Covington, Georgia
NPI 1831650761

Sandra Desilva is a Private Vehicle based in Covington, GA. Sandra Desilva practices in Covington, GA and has the professional credentials of CNA. The NPI Number for Sandra Desilva is 1831650761 and holds a License No. 059313640 (Georgia).

The current practice location address for Sandra Desilva is 225 Lazy Hollow Ln, Covington, GA and can be reached out via phone at 631-338-3478.

Location: 225 Lazy Hollow Ln, Covington, GA, 30016-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831650761
Provider Name
Sandra Desilva
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
225 Lazy Hollow Ln, Covington, GA, 30016-4504
Phone Number
631-338-3478
Fax Number
Provider Enumeration Date
03/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN0014197201 01 GA CNA
institution
Provider Business Practice Location Address Details
Address
225 Lazy Hollow Ln
City
Covington
State
Georgia
Zip
30016-4504
Phone Number
631-338-3478
Fax Number
person
Provider Business Mailing Address Details
Address
225 Lazy Hollow Ln
City
Covington
State
Georgia
Zip
30016-4504
Phone Number
631-338-3478
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
059313640 (Georgia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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