Maranatha A Genet
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
NPI number1124770169
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1124770169
- Entity type
- Individual (NPI-1)
- Name
- Maranatha A Genet
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2022
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
100 Woodruff Cir NeAtlanta, GA 30322-1020
Phone 404-727-5660
Mailing address
100 Woodruff Cir NeAtlanta, GA 30322-1020
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