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Individual

ANANKE GERHARDINA DJATSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
1755 N BROWN RD, LAWRENCEVILLE, GA 30043-8198
(470) 964-1148
Mailing address
155 VIRGINIA LN, HULL, GA 30646-4317
(706) 540-5872
(706) 540-5872

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN276992
GA

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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