Octavia Bostic

NPI #1255973251 in Riverdale, Georgia

Provider Information

NPI Number
1255973251
Entity Type
Individual
Name
Octavia Bostic
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse's Aide
Enumeration Date
Oct 10, 2019
Last Updated
Oct 10, 2019

Practice Location

Address
7670 CREEKSIDE LANE
State
Georgia
ZIP Code
30296
Phone
(863) 777-3846

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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