Individual
OWA I OYIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3130 ROCK MANOR WAY, BUFORD, GA 30519-7698
(770) 337-6778
Mailing address
3130 ROCK MANOR WAY, BUFORD, GA 30519-7698
(770) 337-6778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199711
GA
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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