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Individual

MRS. ORTEASA MARIA TAFIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
1325 SIX FLAGS DR, #1207, AUSTELL, GA 30168-7065
(404) 274-4498
(678) 324-6791
Mailing address
1325 SIX FLAGS DR, #1207, AUSTELL, GA 30168-7065
(404) 274-4498
(678) 324-6791

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028902879
GA

Other

Enumeration date
04/18/2011
Last updated
04/18/2011
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