Individual
EBENEZER ASHITEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 CHRISTIANA CIR NW, KENNESAW, GA 30152-6985
(778) 702-2173
Mailing address
3210 CHRISTIANA CIR NW, KENNESAW, GA 30152-6985
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN285670
GA
251E00000X
Home Health Agency
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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