KADASHA FAIRCLOUGH

LOGANVILLE, GA
NPI1184260275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024190568)
Additional Taxonomies163W00000X Registered Nurse
(Licence: GA  RN286337)
Enumeration Date2019-11-23
Last Update Date2024-12-06
Business Address
KADASHA FAIRCLOUGH RN
1340 ALEXANDER XING
LOGANVILLE, GA 30052-3985
Phone number: 404-916-9226
Mailing Address
KADASHA FAIRCLOUGH RN
1340 ALEXANDER XING
LOGANVILLE, GA 30052-3985
Phone number: 404-916-9226