Individual
AQUILA' MAHDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6354 SHANNON PKWY, SUITE 17D, UNION CITY, GA 30291-3029
(404) 884-8564
Mailing address
6354 SHANNON PKWY, SUITE 17D, UNION CITY, GA 30291
(404) 884-8564
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
20211878
GA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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