Individual
ONOSIOMUZANA NERISA AIGBOKHAODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 JUNIPER ST NE, ATLANTA, GA 30308-1307
(717) 353-0234
Mailing address
3910 KESLER CT, CUMMING, GA 30040-1889
(470) 456-1155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9625197
FL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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