Individual
CAROLINE MASANJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
177 JUBILEE BLVD, LOCUST GROVE, GA 30248-6027
(404) 545-8747
Mailing address
177 JUBILEE BLVD, LOCUST GROVE, GA 30248-6027
(404) 545-8747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019079
CA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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