Individual
DR. LEANDRO MIJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3980 VENTURE DR, DULUTH, GA 30096-5077
(770) 622-2317
Mailing address
3980 VENTURE DR, DULUTH, GA 30096-5077
(770) 622-2317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032988
GA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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