Individual
DENISE PODESZWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 SABLE RIDGE DR, BUFORD, GA 30519-7684
(678) 562-0022
(678) 562-0068
Mailing address
3215 SABLE RIDGE DR, BUFORD, GA 30519-7684
(678) 562-0022
(678) 562-0068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-1193
GA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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