VIDA MICHELE JAMES-BRYANT

LAWRENCEVILLE, GA
NPI1942555982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: GA  OTA000968)
Enumeration Date2012-07-16
Last Update Date2012-07-16
Business Address
-- VIDA MICHELE JAMES-BRYANT COTA
1309 AVINGTON GLEN DR
LAWRENCEVILLE, GA 30045
Phone number: 754-224-8870
Mailing Address
-- VIDA MICHELE JAMES-BRYANT COTA
2324 NW 85 STREET
MIAMI, FL 33147
Phone number: 754-224-8870
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