Individual
MS. VALENTINA KETLIE CASIMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
780 CANTON ROAD, SUITE 100, MARIETTA, GA 30060-7259
(678) 574-0943
(678) 574-0943
Mailing address
3155 N POINT PKWY, ATTN CREDENTIALING DEPT, BUILDING F, SUITE 100, ALPHARETTA, GA 30005
(770) 645-9181
(770) 645-8455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN132859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631542956A
—
GA
Enumeration date
03/16/2006
Last updated
12/11/2015
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