Individual
OSASERE CYNTHIA OMORODION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11080 OLD ROSWELL RD STE 102, ALPHARETTA, GA 30009-4758
(678) 224-8779
Mailing address
11080 OLD ROSWELL RD STE 102, ALPHARETTA, GA 30009-4758
(678) 224-8779
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO123058
GA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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