Individual
MRS. NISSY SHIBU CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
873 REBECCA ST NW, LILBURN, GA 30047-8730
(678) 596-0745
Mailing address
873 REBECCA ST NW, LILBURN, GA 30047-8730
(678) 596-0745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN146322
GA
Other
Enumeration date
03/17/2013
Last updated
03/17/2013
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