Individual
MRS. MAHLAYANA PRIMROSE KALEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6792 PINE VALLEY TRCE, STONE MOUNTAIN, GA 30087-5818
(678) 717-7756
Mailing address
6792 PINE VALLEY TRCE, STONE MOUNTAIN, GA 30087-5818
(678) 717-7756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008179
GA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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