Individual
MS. ALISON DIANE BIZARROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
436 ENGLE DR, TUCKER, GA 30084-2015
(678) 887-8295
Mailing address
436 ENGLE DR, TUCKER, GA 30084-2015
(678) 887-8295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232615
GA
Other
Enumeration date
08/09/2018
Last updated
01/17/2019
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