Individual
MRS. INDIA NICOLE AYOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 ASH ST, CANTON, GA 30114-9024
(678) 880-9347
Mailing address
848 ASH ST, CANTON, GA 30114-9024
(678) 880-9347
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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