Individual
JOHN NDUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3190 CRESTMONT WAY NW, KENNESAW, GA 30152-4682
(404) 931-1382
Mailing address
3190 CRESTMONT WAY NW, KENNESAW, GA 30152-4682
(404) 931-1382
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
297005
GA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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