EBOTE NGITE NNOKO

DALLAS, GA
NPI1346871696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN243114)
Enumeration Date2020-01-27
Last Update Date2020-01-27
Business Address
EBOTE NGITE NNOKO
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number: 770-702-5945
Mailing Address
EBOTE NGITE NNOKO
108 CRESCENT WOODE DR
DALLAS, GA 30157-5725
Phone number: 770-702-5945