Individual
MRS. NORMA JEAN BOCANEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W PEACHTREE ST, ROSSVILLE, GA 30741-1850
(423) 280-4374
Mailing address
103 W PEACHTREE ST, ROSSVILLE, GA 30741-1850
(423) 280-4374
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
054382257
GA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
About Stedi
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