NPI 1619487014

Erica Q Troupe

Practitioner Contractor Conyers, GA

Practice location

Address: 820 Greenleaf Rd, Conyers, GA 30013-2279
Phone: (914) 439-0574

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence BLH-21441 (GA)

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Registry record

NPI: 1619487014
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2017
Record last updated: 11 Oct 2017

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.