Mima Fondong
Mima Fondong is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
720 Westview Dr SWAtlanta, GA 30310-1458
Phone: (832) 808-3664
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (GA) |
|---|
Record details
| NPI number | 1609563584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2023 |
| Last updated in NPPES | April 20, 2023 |
| Certification date | April 1, 2022 |
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