Individual
MRS. ANGE NILSA FONTAINE VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
323 BOLLEN LN, HIRAM, GA 30141-4185
(404) 632-7000
Mailing address
323 BOLLEN LN, HIRAM, GA 30141-4185
(404) 632-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN262617
GA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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