Individual
ANGEL ROBERTO DE LA O
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1478 COBB BRANCH DR, DECATUR, GA 30032-3003
(229) 289-0955
Mailing address
1478 COBB BRANCH DR, DECATUR, GA 30032-3003
(229) 289-0955
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
7445
GA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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