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Individual

HERMANITA HUFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1175 GREEN ST SE, CONYERS, GA 30012-5407
(770) 929-1470
Mailing address
1194 PINEDALE CIR NW, CONYERS, GA 30012-3556

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
GA

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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