OCTAVIA BOSTIC

RIVERDALE, GA
NPI1255973251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2019-10-10
Last Update Date2019-10-10
Business Address
-- OCTAVIA BOSTIC
7670 CREEKSIDE LANE
RIVERDALE, GA 30296
Phone number: 863-777-3846
Mailing Address
-- OCTAVIA BOSTIC
7670 CREEKSIDE LN
RIVERDALE, GA 30296-1173
Phone number: 863-777-3846
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