Individual
ROBERTA ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 PARADISE CIR, DOUGLASVILLE, GA 30134-5215
(404) 537-9295
Mailing address
59 PARADISE CIR, DOUGLASVILLE, GA 30134-5215
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
CN0028910941
GA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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