HAIKA GLORIA KISAMO

MARIETTA, GA
NPI1528741436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN270976)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
HAIKA GLORIA KISAMO
811 KENNESAW AVE NW
MARIETTA, GA 30060-1002
Phone number: 770-422-2451
Mailing Address
HAIKA GLORIA KISAMO
5323 WHITEHAVEN PARK LN SE
MABLETON, GA 30126-5957
Phone number: 832-818-0877
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