Individual
ASIA DAY STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2281 HOLLY LYNN CT STE A, CANTON, GA 30115-8755
(478) 223-3977
Mailing address
1425 SHILOH WAY NW, KENNESAW, GA 30144-5242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
308514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872279979
—
GA
Enumeration date
12/11/2021
Last updated
03/02/2022
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