MALIKA DURHAM

TUCKER, GA
NPI1548796279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: GA  C0112215)
Enumeration Date2017-05-01
Last Update Date2017-05-01
Business Address
-- MALIKA DURHAM
1880 MOUNTAIN INDUSTRIAL BLVD
TUCKER, GA 30084-6659
Phone number: 678-557-7484
Mailing Address
-- MALIKA DURHAM
1264 CEDAR PARK PL
STONE MOUNTAIN, GA 30083-1855
Phone number: 678-557-7484
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