Individual
AISHATU M HYPPOLITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3966 KINGSBROOK BLVD, DECATUR, GA 30034-5747
(848) 467-1259
Mailing address
3966 KINGSBROOK BLVD, DECATUR, GA 30034-5747
(848) 467-1259
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN307598
GA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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