Search › Georgia › 163WH0200X
Modupeola Fakunle, RN
NPI 1861972960 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6987 Dalehollow Dr
Lithonia, GA 30058 - Phone
- (404) 519-0373
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia