Individual
CHIEMELA OHANELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2681 OAK VILLAGE TRL, DECATUR, GA 30032-6458
(916) 308-9553
Mailing address
2681 OAK VILLAGE TRL, DECATUR, GA 30032-6458
(916) 308-9553
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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