Individual
MS. MARIE J JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 TURTLE ROCK PL, ACWORTH, GA 30101-2334
(917) 716-5490
Mailing address
404 TURTLE ROCK PL, ACWORTH, GA 30101-2334
(917) 716-5490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN082955
GA
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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