STEPHANIE BONGLAE HAN

SUWANEE, GA
NPI1184023780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  210849)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
-- STEPHANIE BONGLAE HAN N.P.
545 GOLDEN MEADOWS LN
SUWANEE, GA 30024-2271
Phone number: 517-214-5304
Mailing Address
-- STEPHANIE BONGLAE HAN N.P.
545 GOLDEN MEADOWS LN
SUWANEE, GA 30024-2271
Phone number: 517-214-5304