Individual
IFEOMA OSIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045-3781
(662) 641-7996
Mailing address
PO BOX 1281, GRAYSON, GA 30017-0025
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN241573
GA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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