Individual
MS. BIANCA SHERISE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6660 MABLETON PKWY SE, MABLETON, GA 30126-3306
(404) 957-8412
Mailing address
6660 MABLETON PKWY SE, MABLETON, GA 30126-3306
(404) 957-8412
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030020009
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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