Individual
GIFTY N NIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 LOST SPRINGS TRL, DOUGLASVILLE, GA 30135-8665
(573) 301-4243
Mailing address
4218 LOST SPRINGS TRL, DOUGLASVILLE, GA 30135-8665
(573) 301-4243
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/29/2023
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