Individual
FIANNA MISCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 SPRING RIDGE CT NW, KENNESAW, GA 30144-5039
(678) 472-0947
Mailing address
711 SPRING RIDGE CT NW, KENNESAW, GA 30144-5039
(678) 472-0947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN077823
GA
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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