Individual
RUMONDA MARKETTA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 BAELL TRACE CT SE, MOULTRIE, GA 31788-3029
(229) 921-3465
Mailing address
97 BAELL TRACE CT SE, MOULTRIE, GA 31788-3029
(229) 921-3465
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
056294329
GA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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