Individual
QUDUS OLAJIRE IBIYEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 WOODCREST LN, POWDER SPRINGS, GA 30127-2529
(678) 927-1538
Mailing address
4140 WOODCREST LN, POWDER SPRINGS, GA 30127-2529
(678) 927-1538
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN173624
GA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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