Individual
NANCY OKEYO SSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 COUNTRY GLEN CIR, GROVETOWN, GA 30813-3942
(706) 836-0119
Mailing address
4553 COUNTRY GLEN CIR, GROVETOWN, GA 30813-3942
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9612652
FL
164W00000X
Licensed Practical Nurse
LPN088271
GA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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