Individual
MRS. CRISTIANE LEMOS FUKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5212 PINE BRANCH CIR, SUGAR HILL, GA 30518-7616
(678) 978-4801
Mailing address
4720 NELSON BROGDON BLVD, BUFORD, GA 30518-3480
(678) 978-4801
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
158316
GA
Other
Enumeration date
03/26/2010
Last updated
06/24/2010
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