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Individual

ALLICIA EDOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(202) 627-1901
Mailing address
115 CARRIAGE LAKE DR, STOCKBRIDGE, GA 30281-6287

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1115651
TX
363LF0000X
Family Nurse Practitioner
5019317
NC
363LF0000X
Family Nurse Practitioner
Primary
NP500003934
DC
363LF0000X
Family Nurse Practitioner
RN264232
GA

Other

Enumeration date
08/09/2020
Last updated
02/29/2024
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