Individual
JUANITA MARIE MAANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Mailing address
1419 CHATTANOOGA AVE, STE 4, DALTON, GA 30720-2642
(706) 259-4435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1107152
GA
Other
Enumeration date
09/28/2007
Last updated
09/22/2011
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