Individual
MS. KARLA MUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 THORNBUSH TRCE, LAWRENCEVILLE, GA 30046-4745
(678) 558-6691
Mailing address
420 THORNBUSH TRCE, LAWRENCEVILLE, GA 30046-4745
(678) 558-6691
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
056628
GA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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