Individual
MONICA DENISE BORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5524 OLD NATIONAL HWY, SUITE B, COLLEGE PARK, GA 30349-3212
(404) 763-8555
(404) 763-8502
Mailing address
1409 GARDENWOOD DRIVE, COLLEGE PARK, GA 30349-3212
(404) 763-8555
(404) 763-8502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN079640
GA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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