Individual
NIYETROSHIA H ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BROAD ST STE 5A, AUGUSTA, GA 30901-1467
(706) 294-9804
Mailing address
1424 SYCAMORE DR APT A9, AUGUSTA, GA 30909-2940
(706) 386-4169
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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