Individual
JUSTINE S ASABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
3550 GREYSTONE CIR, ATLANTA, GA 30341-5851
(951) 261-0072
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
12345ABC
GA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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