Individual
ASHA OLUSEYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2397
Mailing address
3899 WALDROP HILLS DR, DECATUR, GA 30034-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
285231
GA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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