Individual
MEDEA REINE VICHA BASSEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PRICE QUARTERS RD, MCDONOUGH, GA 30253-4827
(678) 628-7916
Mailing address
505 PRICE QUARTERS RD, MCDONOUGH, GA 30253-4827
(678) 628-7916
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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