Individual
LEONIE NTSAH FOBUZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(404) 668-8461
Mailing address
353 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(404) 668-8461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RN185513
GA
314000000X
Skilled Nursing Facility
RN9294975
FL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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