Individual
GRACE TAMU FOMUNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3206 THIMBLEBERRY TRL, DACULA, GA 30019-7299
(404) 819-7338
Mailing address
3206 THIMBLEBERRY TRL, DACULA, GA 30019-7299
(404) 819-7338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN201867
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN201867
GA
Other
Enumeration date
08/20/2016
Last updated
11/07/2019
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