Individual
AALIYAH NURA FARDAN-ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SINGLETREE, STOCKBRIDGE, GA 30281
(678) 770-3967
Mailing address
105 SINGLETREE, STOCKBRIDGE, GA 30281-4858
(678) 770-3967
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN000300048937
GA
Other
Enumeration date
04/02/2019
Last updated
10/06/2019
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