Individual
AJA MONIQUE STYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2702 STATION CLUB DR SW, MARIETTA, GA 30060-7520
(678) 908-7697
Mailing address
2702 STATION CLUB DR SW, MARIETTA, GA 30060-7520
(678) 619-6925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN085567
GA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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