DOROTHY DELISFORT-CRISOSTOMO

TUCKER, GA
NPI1013450816
Other NameDOROTHY DELISFORT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN141244)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: GA  RN141244)
Enumeration Date2016-11-28
Last Update Date2024-04-15
Business Address
Ms. DOROTHY DELISFORT-CRISOSTOMO FNP-C
4228 1ST AVE STE 1
TUCKER, GA 30084-4426
Phone number: 833-583-4778
Mailing Address
Ms. DOROTHY DELISFORT-CRISOSTOMO FNP-C
4228 1ST AVE STE 1
TUCKER, GA 30084-4426
Phone number: 833-583-4778