Individual
MISS ANGELA M. GUGGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3400 OLD 41 HWY NW, KENNESAW, GA 30144-1072
(770) 975-6685
Mailing address
2250 ELLISON LAKES DR NW, APT. 717, KENNESAW, GA 30152-8248
(770) 423-2007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001304
GA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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