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Individual

MARINA BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CRNA

Contact information

Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Mailing address
6783 GREENSPIRE DR, LEWIS CENTER, OH 43035-7956

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020175
OH

Other

Enumeration date
08/21/2020
Last updated
12/02/2024
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