IVIE B EKHORUTOMWEN

STOCKBRIDGE, GA
NPI1255126678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN296248)
Enumeration Date2025-04-14
Last Update Date2025-04-14
Business Address
IVIE B EKHORUTOMWEN
110 WALTER WAY UNIT 2635
STOCKBRIDGE, GA 30281-9526
Phone number: 404-692-0232
Mailing Address
IVIE B EKHORUTOMWEN
889 KENT CT
LITHONIA, GA 30058-8240
Phone number: 413-204-4729
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