Individual
MRS. TUJUANA C GLENN OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
5404 TREE SUMMIT PKWY, DULUTH, GA 30096-8070
(678) 477-3397
(678) 417-9151
Mailing address
5404 TREE SUMMIT PKWY, DULUTH, GA 30096-8070
(678) 477-3397
(678) 417-9151
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
119695
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
4704180693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704180693
LICENSE
MI
05
—
4868152
—
MA
Enumeration date
06/22/2006
Last updated
03/27/2013
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