Individual
GEORGIANA AKAN KOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 E RIVER PARK PL W, FRESNO, CA 93720-1562
(559) 320-0530
(559) 320-0532
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95000242
CA
363LA2100X
Acute Care Nurse Practitioner
R174610
MD
Other
Enumeration date
12/03/2012
Last updated
09/08/2014
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