EBONE MONIQUE FORTENBERRY

ROME, GA
NPI1609228352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
Mrs. EBONE MONIQUE FORTENBERRY
169 WALENDA DR NW
ROME, GA 30165-9730
Phone number: 706-314-9294
Mailing Address
Mrs. EBONE MONIQUE FORTENBERRY
169 WALENDA DR NW
ROME, GA 30165-9730
Phone number: 706-314-9294
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