MARIVIC YBANEZ LLENA

CANTON, GA
NPI1588383913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN126208)
Enumeration Date2022-08-29
Last Update Date2023-10-20
Business Address
MARIVIC YBANEZ LLENA FNP-C
3290 SIXES RD
CANTON, GA 30114
Phone number: 678-374-7514
Mailing Address
MARIVIC YBANEZ LLENA FNP-C
404 BALLYMORE PASS
WOODSTOCK, GA 30189-7418
Phone number: 404-431-8126