Individual
LEQUINNAKA L MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
908 W PARK ST APT B218, HAHIRA, GA 31632-1651
(229) 280-9368
Mailing address
908 W PARK ST APT B218, HAHIRA, GA 31632-1651
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
GA
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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