Individual provider · NPI-1
Stephanie Dumont
Nurse's Aide · Lithonia, GA
NPI number1225756463
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1225756463
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Dumont
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
2019 Marbut TrceLithonia, GA 30058-3921
Phone 404-747-1720
Mailing address
2019 Marbut TrceLithonia, GA 30058-3921
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