Individual
ISABELLE FULAI VIKUMITSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 HIRAM DAVIS RD, LAWRENCEVILLE, GA 30045-6628
(678) 992-6132
Mailing address
1827 INNSFAIL DR, SNELLVILLE, GA 30078-2525
(682) 554-7264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN233577
GA
Other
Enumeration date
08/28/2023
Last updated
06/01/2024
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