ESSENTIA INTIMA LLC

FAYETTEVILLE, GA
NPI1275356826
Entity TypeOrganization
Authorized ContactIJEOMA OKWANDU
Cmo
909-994-1048
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2024-11-04
Last Update Date2024-11-04
Business Address
ESSENTIA INTIMA LLC
600 LANIER AVE W STE 203
FAYETTEVILLE, GA 30214-1833
Phone number: 909-994-1048
Mailing Address
ESSENTIA INTIMA LLC
600 LANIER AVE W STE 203
FAYETTEVILLE, GA 30214-1833
Phone number: 909-994-1048
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