Individual provider · NPI-1
Theresa Mishael Umoja, rn
Registered Nurse, General Practice · Lithonia, GA
NPI number1346346426
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346346426
- Entity type
- Individual (NPI-1)
- Name
- Ms. Theresa Mishael Umoja
- Credential
- rn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 104476 | GA | Yes |
Practice location
2137 Harmony Lakes PlLithonia, GA 30058-1506
Phone 770-484-1994
Mailing address
2137 Harmony Lakes PlLithonia, GA 30058-1506
Phone 770-484-1994
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