Individual
ALFIE VICTORIA IGBADUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 MONTE VILLA CTS, MARIETTA, GA 30062-2897
(678) 622-8099
(770) 222-0084
Mailing address
2399 MONTE VILLA CTS, MARIETTA, GA 30062-2897
(678) 622-8099
(770) 222-0084
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
067-01-462-2
GA
Other
Enumeration date
06/03/2010
Last updated
06/04/2010
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