Individual
KEONNA MULDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 HILLSIDE VILLAGE DR SE, ATLANTA, GA 30317-3178
(678) 899-7669
Mailing address
601 HILLSIDE VILLAGE DR SE, ATLANTA, GA 30317-3178
(678) 899-7669
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080492
GA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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