Individual
ANA RECENDIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 EE BUTLER PKWY FL 1, GAINESVILLE, GA 30501-4524
(770) 796-0005
Mailing address
447 EE BUTLER PKWY FL 1, GAINESVILLE, GA 30501-4524
(815) 505-0321
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001455
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2017
Last updated
12/07/2020
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