Individual
MEKA ORIENTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 CARLYSLE PARK DR, LAWRENCEVILLE, GA 30044-2242
(678) 359-2049
Mailing address
1205 CARLYSLE PARK DR, LAWRENCEVILLE, GA 30044-2242
(678) 359-2049
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/13/2023
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