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Organization

JOYWEALTH CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FANISKA MASSILLON (ADMINISTRATOR)
(407) 308-9573
Entity
Organization

Contact information

Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(347) 688-8573
Mailing address
PO BOX 920548, PEACHTREE CORNERS, GA 30010-0548

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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