Most Relevant Information
Provider Data
| NPI Number: | 1003039611 |
| Provider Name: | MARIELA BETINA PEROSINO D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CHIR007819 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 08/19/2010 |
Provider Practice Location
611 HOLCOMB BRIDGE RD
STE A
ROSWELL
GA
300761769
Practice Location Phone/Fax
| Phone: | 6782058432 |
| Fax: | 6782058443 |
Provider Mailing Location
611 HOLCOMB BRIDGE RD
SUITE A
ROSWELL
GA
300761769
Provider Mailing Phone/Fax
| Phone: | 6782058432 |
| Fax: | 6782058443 |