Individual
NICOLE MARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
3197 RILMAN DR NW, ATLANTA, GA 30327-2224
(619) 890-5461
Mailing address
1266 W PACES FERRY RD NW # 179, ATLANTA, GA 30327-2306
(619) 890-5461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201819
GA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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