Individual
MELLIN JEAN OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3378 THAMES PL, HEPHZIBAH, GA 30815-7176
(619) 316-5905
Mailing address
3378 THAMES PL, HEPHZIBAH, GA 30815-7176
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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