Individual
MS. MAUREEN MULLIGAN LAROSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2015 UPPER GATE DR NE FL 3, ATLANTA, GA 30322-1014
(404) 727-2966
Mailing address
1039 KENTUCKY AVE NE, ATLANTA, GA 30306-3533
(404) 876-0675
(404) 778-1467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN045740
GA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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