Individual
TERESITA B BALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
477 KINGSPOINT LN, ROSWELL, GA 30076-4120
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN165822
GA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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