Individual
REGIS NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4175 GLEN IRIS DR, CUMMING, GA 30040-9695
(678) 520-0711
Mailing address
4175 GLEN IRIS DR, CUMMING, GA 30040-9695
(678) 520-0711
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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