Individual
ANDREA NICOLE MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 WALTON LN SE, SMYRNA, GA 30082-3873
(678) 436-6605
Mailing address
1220 WALTON LN SE, SMYRNA, GA 30082-3873
(678) 436-6605
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
07/31/2019
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