Individual
JUANITA F MIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 GUINNESS CT, UNION CITY, GA 30291-1991
(281) 757-7726
Mailing address
6409 GUINNESS CT, UNION CITY, GA 30291-1991
(281) 757-7726
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
GA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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