JACQUELINE ANGELA DACOSTA

DECATUR, GA
NPI1104209246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN079303)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- JACQUELINE ANGELA DACOSTA RN
4133 CHAPEL LAKE DR
DECATUR, GA 30034-3568
Phone number: 404-549-8086
Mailing Address
-- JACQUELINE ANGELA DACOSTA RN
4133 CHAPEL LAKE DR
DECATUR, GA 30034-3568
Phone number: 404-549-8086