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Individual

MRS. ADRIANA Z TRIGOSO-THIBODEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3840 PEACHTREE INDUSTRIAL BLVD STE 250, DULUTH, GA 30096-5034
(678) 585-4959
Mailing address
3840 PEACHTREE INDUSTRIAL BLVD STE 250, DULUTH, GA 30096-5034
(678) 585-4959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN281422
GA
363LF0000X
Family Nurse Practitioner
RN281422
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN281422
GA

Other

Enumeration date
06/11/2024
Last updated
06/17/2024
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