Individual
OLUABO EDOGIAWERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 ESTATE VIEW CT, DACULA, GA 30019-4015
(708) 539-1638
Mailing address
3008 ESTATE VIEW CT, DACULA, GA 30019-4015
(708) 539-1638
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN280906
GA
363LG0600X
Gerontology Nurse Practitioner
RN280906
GA
Other
Enumeration date
04/26/2023
Last updated
03/27/2024
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