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MRS. TAIWO HAZANAT SOLUADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7117 SECRET ROSE, DOUGLASVILLE, GA 30134-1669
(770) 335-5213
Mailing address
20 HERNELL DRIVE, VILLA RICA, GA 30180
(813) 449-3678

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN265390
GA

Other

Enumeration date
05/12/2022
Last updated
05/12/2022
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