Individual provider · NPI-1

Rose Abraham-Hampton

Nurse's Aide · Lithonia, GA

NPI number1255707204
StatusActive
Last updated in NPPESAug 13, 2015

Details

NPI
1255707204
Entity type
Individual (NPI-1)
Name
Rose Abraham-Hampton
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 13, 2015
Last updated
Aug 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCN0030030662GAYes

Practice location

3783 Raiders Ridge Dr
Lithonia, GA 30038-3667

Phone 404-798-3095

Mailing address

3783 Raiders Ridge Dr
Lithonia, GA 30038-3667

Phone 404-798-3095

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