Individual
DIANE MARTINE BROSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 PERRY ST, NEWNAN, GA 30263-1974
(678) 423-4610
(770) 254-7419
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081396
GA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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