Individual
CYMONE JEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W PIKE ST STE 202I, LAWRENCEVILLE, GA 30046-4878
(678) 568-6058
Mailing address
900 LEGACY PARK DR APT 525, LAWRENCEVILLE, GA 30043-8719
(901) 361-0624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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