Organization
CLINICA NUEVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CUADRADO N.P. (SOLE MEMBER)
(470) 375-8521
Entity
Organization
Contact information
Practice address
5944 BUFORD HWY, NORCROSS, GA 30071-2444
(470) 375-5821
(470) 375-5824
Mailing address
5944 BUFORD HWY, NORCROSS, GA 30071-2444
(470) 375-5821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN220894
GA
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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