Individual
LEAH MANIMALETHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1971
(404) 712-5511
(404) 712-5895
Mailing address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5511
(404) 712-5895
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
06/06/2024
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