Individual
MUKANDA MAMIE-CELINE MANSEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 WYLIE RD SE, MARIETTA, GA 30067-7857
(770) 427-8727
Mailing address
PO BOX 1251, SMYRNA, GA 30081-1251
(470) 244-5601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269353
GA
363LF0000X
Family Nurse Practitioner
F11200019
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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