Individual
LUCYL-MAMS EYONGNDIP FONKENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 NORTHOLT PKWY, SUWANEE, GA 30024-4360
(770) 904-3222
Mailing address
601 NORTHOLT PKWY, SUWANEE, GA 30024-4360
(770) 904-3222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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