Provider Demographics
NPI:1962244426
Name:REMBERT, PRECOUS LAKIA
Entity type:Individual
Prefix:
First Name:PRECOUS
Middle Name:LAKIA
Last Name:REMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 RAINTREE BND
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-8942
Mailing Address - Country:US
Mailing Address - Phone:770-421-4016
Mailing Address - Fax:
Practice Address - Street 1:6123 RAINTREE BND
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-8942
Practice Address - Country:US
Practice Address - Phone:770-421-4016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide