Individual
JANE OMUVWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4499 BRIDLE RIDGE WAY, LITHONIA, GA 30038-6520
(310) 502-5144
Mailing address
4499 BRIDLE RIDGE WAY, LITHONIA, GA 30038-6520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107035
GA
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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