Provider Demographics
NPI:1871268474
Name:ONOYONA, PHILOMENA
Entity Type:Individual
Prefix:
First Name:PHILOMENA
Middle Name:
Last Name:ONOYONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4595 FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-7600
Mailing Address - Country:US
Mailing Address - Phone:678-732-8584
Mailing Address - Fax:
Practice Address - Street 1:4171 MARIETTA ST STE 300B
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-4808
Practice Address - Country:US
Practice Address - Phone:678-732-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide