Individual
MAGALIE JEANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3982 VERBENA CT NW, KENNESAW, GA 30144-1191
(678) 668-6892
Mailing address
3982 VERBENA CT NW, KENNESAW, GA 30144-1191
(678) 668-6892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN318341
GA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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