KEILANI BODY

RIVERDALE, GA
NPI1710628516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN265923)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
KEILANI BODY
1150 ROUND TABLE LN
RIVERDALE, GA 30296-3089
Phone number: 678-977-8852
Mailing Address
KEILANI BODY
1150 ROUND TABLE LN
RIVERDALE, GA 30296-3089
Phone number: 678-977-8852