Individual
MS. MARIESA MANENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 WINDSOR CHASE TRL, DULUTH, GA 30097-8401
(770) 815-2214
Mailing address
240 WINDSOR CHASE TRL, DULUTH, GA 30097-8401
(770) 815-2214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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