GLORIA BOSTICK RN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1528665569- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 301 CLUB VILLA CT STE 3, KATHLEEN, GA, 310475434
- Phone
- (478) 218-9031
- Fax
- (478) 218-0203
Specialties & Taxonomies
Registered Nurse
Primary License: GA #RN063053