Individual
PALWASHA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 LILBURN SCHOOL RD NW, LILBURN, GA 30047-4970
(770) 256-1515
Mailing address
620 LILBURN SCHOOL RD NW, LILBURN, GA 30047-4970
(770) 256-1515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
058825999
GA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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