Individual
MS. THERESA MISHAEL UMOJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2137 HARMONY LAKES PL, LITHONIA, GA 30058-1506
(770) 484-1994
Mailing address
2137 HARMONY LAKES PL, LITHONIA, GA 30058-1506
(770) 484-1994
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
104476
GA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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