Individual
SUSAN SANFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
135 PROMINENCE CT STE 120, DAWSONVILLE, GA 30534-8937
(770) 886-7900
(706) 265-8450
Mailing address
135 PROMINENCE CT STE 120, DAWSONVILLE, GA 30534-8937
(770) 886-7900
(706) 265-8450
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
069-R-0293
GA
376J00000X
Homemaker
069-R-0293
GA
376K00000X
Nurse's Aide
Primary
069-R-0293
GA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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