QUANIQUA MATUTE-ISLAM

LITHONIA, GA
NPI1033852306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: GA  CN0008918328)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2022-04-15
Last Update Date2022-06-06
Business Address
QUANIQUA MATUTE-ISLAM CNA
6653 EASTBRIAR DR
LITHONIA, GA 30058-8945
Phone number: 470-294-2103
Mailing Address
QUANIQUA MATUTE-ISLAM CNA
6653 EASTBRIAR DR
LITHONIA, GA 30058-8945
Phone number: 470-294-2103