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Kofoworola Usuf

Nurse's Aide in Mcdonough, GA. Individual provider (NPI-1).

NPI number1235795105
StatusActive
Last updated in NPPESMay 15, 2019

Details

NPI
1235795105
Entity type
Individual (NPI-1)
Name
Kofoworola Usuf
Sex
Female
Sole proprietor
Yes
Enumeration date
May 15, 2019
Last updated
May 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCN0014211914GAYes

Practice location

2624 Cornwall Dr
Mcdonough, GA 30253-6878

Phone 443-518-6390

Mailing address

2624 Cornwall Dr
Mcdonough, GA 30253-6878

Phone 443-518-6390

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