Individual
MARIE GASPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147
Mailing address
1291 STANLEY RD NW, KENNESAW, GA 30152-4359
(770) 427-0147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN146398
GA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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