Individual
KOSSIWA YAWLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 NORTH AVE STE F, JONESBORO, GA 30236-8408
(404) 509-6192
Mailing address
118 NORTH AVE STE F, JONESBORO, GA 30236-8408
(404) 509-6192
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
268783
GA
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN268783
GA
Other
Enumeration date
12/15/2023
Last updated
12/19/2023
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