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Individual

ALEXA GUSMEROTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3745 CHEROKEE ST NW STE 401, KENNESAW, GA 30144-6787
(770) 429-1005
Mailing address
3745 CHEROKEE ST NW STE 401, KENNESAW, GA 30144-6787

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/06/2019
Last updated
06/30/2022
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