DAPHNE PROVAU

ATLANTA, GA
NPI1912373473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN196115)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- DAPHNE PROVAU
199 14TH ST NE APT 208
ATLANTA, GA 30309-3672
Phone number: 678-908-8204
Mailing Address
-- DAPHNE PROVAU
199 14TH ST NE APT 208
ATLANTA, GA 30309-3672
Phone number: 678-908-8204
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