Individual
MRS. MYRIANTE MANEFOUET GUEDJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30046-4325
(678) 927-0685
Mailing address
615 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30046-4325
(678) 927-0685
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN252624
GA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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