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Individual
MRS. SANTORIA GLENNTRECE HAMBOLU
Active
Individual
MRS. SANTORIA GLENNTRECE HAMBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
000000000000
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN270894
GA
Other
Enumeration date
02/19/2021
Last updated
05/29/2026
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