ILAKO CHRYSTELLE AGBATCHI-HOUEDAN NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1922693134- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 1120 15TH ST, AUGUSTA, GA, 309120004
- Phone
- (706) 721-8623
- Fax
- (706) 721-1459
Specialties & Taxonomies
Nurse Practitioner
Primary License: GA #RN279629