Kisamo, Haika Gloria
Kisamo, Haika Gloria is an sole proprietor health care provider with primary practice located at 811 Kennesaw Ave Nw , Marietta GA 30060-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Kisamo, Haika Gloria can be contacted via phone (770) 422-2451.Contact Information
Primary practice address
811 Kennesaw Ave Nw
Marietta GA 30060-1002
Phone: (770) 422-2451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN270976 | Georgia |
Profile Details
| NPI number | 1528741436 |
|---|---|
| LBN Legal business name | Kisamo, Haika Gloria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2023 |
| Last updated | Aug 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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