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Individual

NAKISHA MARIA CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 UPPER RIVERDALE RD, RIVERDALE, GA 30274
(770) 897-7109
Mailing address
1596 CLEVELAND AVE APT 301, EAST POINT, GA 30344-3233

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
272638
GA

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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