Individual
VIRLIRA J PASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-7655
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-7655
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
273543
GA
Other
Enumeration date
08/15/2022
Last updated
08/17/2022
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