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Individual

ESSENCE SHREE ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA/CMA

Contact information

Practice address
7631 DALLAS HWY LOT C18, DOUGLASVILLE, GA 30134-5719
(404) 488-6646
Mailing address
7631 DALLAS HWY LOT C18, DOUGLASVILLE, GA 30134-5719
(404) 488-6646

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014210569
GA

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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