Ebosetale Ikheloa

NPI #1457170649 in Decatur, Georgia

Provider Information

NPI Number
1457170649
Entity Type
Individual
Name
Ebosetale Ikheloa
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 7, 2024
Last Updated
Oct 7, 2024

Practice Location

Address
2550 BLACKMON DR APT 3211
State
Georgia
ZIP Code
30033-6254
Phone
(706) 351-0246

Specialties & Taxonomy Codes

Specialty
Pharmacist

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