Individual
MAKEDA DAMALI MOGERIE MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LD
Contact information
Practice address
3640 FAIRBURN PL NW, ATLANTA, GA 30331-1422
(404) 735-4655
Mailing address
3640 FAIRBURN PL NW, ATLANTA, GA 30331-1422
(404) 735-4655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004203
GA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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