Individual
STACEY AALIYAH FLANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3755 REDWINE RD APT 5214, ATLANTA, GA 30344-5957
(478) 957-3015
Mailing address
3755 REDWINE RD APT 5214, ATLANTA, GA 30344-5957
(478) 957-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN287519
GA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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