Individual
KRISOLA DEL VALLE MARCANO MANZANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4306 N SHALLOWFORD RD APT 1421, ATLANTA, GA 30341-1157
(678) 933-2833
Mailing address
4306 N SHALLOWFORD RD APT 1421, ATLANTA, GA 30341-1157
(678) 933-2833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN256861
GA
Other
Enumeration date
05/01/2017
Last updated
07/21/2022
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