Individual
SERENA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 WESTCHASE LN SW, #307, ATLANTA, GA 30336-4413
(678) 334-8040
Mailing address
PO BOX 44424, ATLANTA, GA 30336-1424
(678) 334-8040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN073723
GA
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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