FANTASIA REMONVIL

FAYETTEVILLE, GA
NPI1912581885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  11418)
Enumeration Date2021-05-07
Last Update Date2023-03-04
Business Address
FANTASIA REMONVIL
1330 GA-74
FAYETTEVILLE, GA 30215-1458
Phone number: 770-631-2502
Mailing Address
FANTASIA REMONVIL
175 BLOSSOM WOOD DRIVE
SENOIA, GA 30276
Phone number: 404-717-4445