Individual
BOLAJOKO IGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2602 PEPPER CT, LAWRENCEVILLE, GA 30044-7186
(470) 406-1126
Mailing address
2602 PEPPER CT, LAWRENCEVILLE, GA 30044-7186
(470) 406-1126
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030089114
GA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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