Individual
JUDITH SULIY BONGADU-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6065 JONESBORO RD, MORROW, GA 30260-1168
(770) 968-0660
(770) 961-7964
Mailing address
6065 JONESBORO RD, MORROW, GA 30260-1168
(770) 968-0660
(770) 961-7964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021898
GA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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