Individual
MARIAN DENISSE ORTIZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3775 VENTURE DR BLDG F, DULUTH, GA 30096-5102
(404) 592-1158
(678) 400-0021
Mailing address
528 PRESTON PARK DR, DULUTH, GA 30096-8817
(787) 204-6112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010216
GA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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