Individual
MS. KARIS GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2665 N DECATUR RD, DECATUR, GA 30033-6149
(516) 253-1649
Mailing address
2665 N DECATUR RD, DECATUR, GA 30033-6149
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN244438
GA
163WG0600X
Gerontology Registered Nurse
RN244438
GA
Other
Enumeration date
12/24/2020
Last updated
07/09/2022
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