Individual
MRS. ANITA MARIA MARUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-4262
Mailing address
10159 CAMPGROUND RD, MATTHEWS, GA 30818-1729
(706) 547-9372
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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