Individual
MINELVA DESANGES EXIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 ALLISON CIR, DECATUR, GA 30034-4864
(631) 703-0439
Mailing address
3201 ALLISON CIR, DECATUR, GA 30034-4864
(631) 703-7361
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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