JOFFY S VADAKKEDAM

LAWRENCEVILLE, GA
NPI1629692165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  090341)
Enumeration Date2020-06-01
Last Update Date2020-06-01
Business Address
JOFFY S VADAKKEDAM
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
JOFFY S VADAKKEDAM
1990 TRIBBLE WALK DR
LAWRENCEVILLE, GA 30045-3483
Phone number: 609-598-1236
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