Individual
MAURICE LEE HUTTENLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
220 26TH ST NW APT 6315, ATLANTA, GA 30309-1939
(615) 772-6580
Mailing address
220 26TH ST NW APT 6315, ATLANTA, GA 30309-1939
(615) 772-6580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3784
SC
Other
Enumeration date
01/16/2009
Last updated
03/26/2013
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