MARISSA LYNETTE COMMODORE

STONE MOUNTAIN, GA
NPI1881264356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN264280)
Additional Taxonomies207L00000X Anesthesiology
(Licence: GA  RN264280)
Enumeration Date2021-06-28
Last Update Date2024-05-23
Business Address
MARISSA LYNETTE COMMODORE CRNA
5357 WINDFERN CT
STONE MOUNTAIN, GA 30088-3329
Phone number: 770-875-3080
Mailing Address
MARISSA LYNETTE COMMODORE CRNA
5357 WINDFERN CT
STONE MOUNTAIN, GA 30088-3329
Phone number: 770-875-3080