VIDA AWASOM

DALTON, GA
NPI1316549173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH023966)
Enumeration Date2020-11-16
Last Update Date2020-11-16
Business Address
VIDA AWASOM
815 SHUGART RD
DALTON, GA 30720-2433
Phone number: 706-271-2834
Mailing Address
VIDA AWASOM
582 DAWNVILLE RD NE
DALTON, GA 30721-8411
Phone number: