Individual
VICTORIA OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 HEZEKIAH WAY, ELLENWOOD, GA 30294-4523
(678) 637-1883
(678) 884-1740
Mailing address
716 HEZEKIAH WAY, ELLENWOOD, GA 30294-4523
(678) 637-1883
(678) 884-1740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
O75-R-0264
GA
3747P1801X
Personal Care Attendant
O75-R-0264
GA
376K00000X
Nurse's Aide
O75-R-0264
GA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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