Individual
MRS. AMY DESROCHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(404) 643-9584
Mailing address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(404) 643-9584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN138909
GA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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