Individual
REBECCA N WANJOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG ACNP-BC
Contact information
Practice address
914 GRANDVIEW WAY NW, ACWORTH, GA 30101-7842
(678) 907-4776
Mailing address
914 GRANDVIEW WAY NW, ACWORTH, GA 30101-7842
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AC004072
MD
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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