Individual
SARA MARIE MISSINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
616 RUSSETWOOD LN, POWDER SPRINGS, GA 30127-6407
(678) 508-0132
Mailing address
616 RUSSETWOOD LN, POWDER SPRINGS, GA 30127-6407
(678) 508-0132
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0030084770
GA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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