JOSEPHINE I IYABOR

AUSTELL, GA
NPI1265742290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies372600000X Adult Companion
3747A0650X Technician, Attendant Care Provider
Enumeration Date2010-10-08
Last Update Date2010-10-08
Business Address
Mrs. JOSEPHINE I IYABOR
1191 FLAMINGO DR
AUSTELL, GA 30168-6109
Phone number: 770-732-6366
Mailing Address
Mrs. JOSEPHINE I IYABOR
1191 FLAMINGO DR
AUSTELL, GA 30168-6109
Phone number: 770-778-2067