MELANIE RENEE BOULDWATE

ACWORTH, GA
NPI1033821152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  5218053)
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
MELANIE RENEE BOULDWATE
500 SANDY LN APT 201
ACWORTH, GA 30102-1497
Phone number: 121-575-6190
Mailing Address
MELANIE RENEE BOULDWATE
500 SANDY LN APT 201
ACWORTH, GA 30102-1497
Phone number: 121-575-6190
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