MARIVIC LUCENA DIEGO

LOCUST GROVE, GA
NPI1720737885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT016000)
Enumeration Date2022-03-23
Last Update Date2022-07-18
Business Address
MARIVIC LUCENA DIEGO
4959 BILL GARDNER PKWY STE 109
LOCUST GROVE, GA 30248-2915
Phone number: 770-914-9285
Mailing Address
MARIVIC LUCENA DIEGO
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-8923
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