Individual
GNIMBIN ALBERT OUATTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
847 CONNERS CV, LAWRENCEVILLE, GA 30044-6934
(404) 543-3151
Mailing address
847 CONNERS CV, LAWRENCEVILLE, GA 30044-6934
(404) 543-3151
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
PHCP010651
GA
164W00000X
Licensed Practical Nurse
PHCP010651
GA
251J00000X
Nursing Care Agency
PHCP010651
GA
253Z00000X
In Home Supportive Care Agency
PHCP010651
GA
372600000X
Adult Companion
PHCP010651
GA
374U00000X
Home Health Aide
Primary
PHCP01651
GA
376K00000X
Nurse's Aide
PHCP010651
GA
385H00000X
Respite Care
PHCP010651
GA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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