Justin Otiwu

NPI #1457626848 in Buford, Georgia

Provider Information

NPI Number: 1457626848
Entity Type: Individual
Name: Justin Otiwu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Mar 19, 2012
Last Updated: Mar 19, 2012

Practice Location

Address: 3965 BRADFORD WALK TRL
City: Buford
State: Georgia
ZIP Code: 30519-7840
Phone: (770) 355-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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