Individual
MS. MARISSA ANNE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
61 WHITCHER ST NE, #3110, MARIETTA, GA 30060-1176
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER STREET,, #3110, MARIETTA, GA 30060
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP20026
CA
Other
Enumeration date
10/13/2010
Last updated
04/16/2015
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