Individual
MISS MICHELLE YVONNE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
8020 MAGNOLIA WAY, ROSWELL, GA 30075-4281
(770) 330-5549
(833) 672-3232
Mailing address
8020 MAGNOLIA WAY, ROSWELL, GA 30075-4281
(770) 330-5549
(833) 672-3232
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2632
TN
246ZC0007X
Surgical Assistant
—
—
Other
Enumeration date
06/11/2008
Last updated
02/07/2025
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