Individual
PURELILY MFONMA EKPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
469 CRANBERRY CIR, MCDONOUGH, GA 30253-7790
(346) 617-0100
Mailing address
469 CRANBERRY CIR, MCDONOUGH, GA 30253-7790
(346) 617-0100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN318172
GA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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