Individual
KSENIYA DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT-NPS
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-5437
Mailing address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-5437
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
10321
GA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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