Individual
JOSUE ULYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11003 SHANNON CIR, HAMPTON, GA 30228-3315
(678) 382-9062
Mailing address
11003 SHANNON CIR, HAMPTON, GA 30228-3315
(678) 382-9062
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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