Individual
FLORENCE FASHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 WESTCROFT LN, ROSWELL, GA 30075-6020
(470) 409-5914
Mailing address
1006 WESTCROFT LN, ROSWELL, GA 30075-6020
(470) 409-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291197
GA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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