Individual
MISS MARIE PUVERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 MCQUISTON DR SW, MARIETTA, GA 30064-4809
(404) 992-4031
Mailing address
2213 MC QUISTON DRIVE SW, MARIETTA, GA 30064
(404) 992-4031
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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