Organization
AQUA-TOTS SWIM SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY ANN BARAHONA (MANAGER)
(678) 445-7323
Entity
Organization
Contact information
Practice address
103 VICTORIA NORTH CT, WOODSTOCK, GA 30189-5439
(678) 445-7323
(678) 331-8024
Mailing address
103 VICTORIA NORTH CT, WOODSTOCK, GA 30189-5439
(678) 445-7323
(678) 331-8024
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
30280
GA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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