MRS. Norma Jean Bocanegra

NPI #1477017283 in Rossville, Georgia

Provider Information

NPI Number: 1477017283
Entity Type: Individual
Name: MRS. Norma Jean Bocanegra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 25, 2019
Last Updated: Jan 25, 2019

Practice Location

Address: 103 W PEACHTREE ST
City: Rossville
State: Georgia
ZIP Code: 30741-1850
Phone: (423) 280-4374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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