Individual
JAJUAN NOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 MARBLE DR, OXFORD, GA 30054-4138
(470) 262-8782
Mailing address
148 MARBLE DR, OXFORD, GA 30054-4138
(470) 262-8782
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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