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Organization
JOINER AND LANE MIGRAINE AESTHETIC WELLNESS SPA LLC
Active
Organization
JOINER AND LANE MIGRAINE AESTHETIC WELLNESS SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
304 JANET ST STE B, VALDOSTA, GA 31602-2643
(469) 915-4211
Mailing address
304 JANET ST STE B, VALDOSTA, GA 31602-2643
(469) 915-4211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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