Individual
JULIANA BETANCUR GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11040 CRABAPPLE RD STE A, ROSWELL, GA 30075-2457
(866) 377-5872
Mailing address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN259991
GA
Other
Enumeration date
04/18/2023
Last updated
09/18/2023
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