Individual
VANESSA DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6687 EVANS TRCE, LITHONIA, GA 30038-2469
(678) 559-2934
Mailing address
6687 EVANS TRCE, LITHONIA, GA 30038-2469
(678) 559-2934
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376K00000X
GA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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