Individual
MARLIE S SANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1266 KEY MANOR LN, LAWRENCEVILLE, GA 30045-2231
(516) 287-0281
Mailing address
1266 KEY MANOR LN, LAWRENCEVILLE, GA 30045-2231
(516) 287-0281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
100201
GA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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