Individual
GLORIA MINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 PALMER RD, LITHONIA, GA 30058-9085
(404) 454-9388
Mailing address
1046 PALMER RD, LITHONIA, GA 30058-9085
(404) 454-9388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-R-1382
GA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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