Individual
FATMA RAJAB MAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
Mailing address
1218 GLEN DEVON PL, POWDER SPRINGS, GA 30127-5474
(404) 723-3166
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
229141
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11021319
FL
Other
Enumeration date
03/26/2022
Last updated
10/25/2022
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