NPI 1235795105

Kofoworola Usuf

Practitioner Nurse's Aide McDonough, GA

Practice location

Address: 2624 Cornwall Dr, McDonough, GA 30253-6878
Phone: (443) 518-6390

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0014211914 (GA)

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Registry record

NPI: 1235795105
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2019
Record last updated: 15 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.