Individual
MRS. BONNIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSGE THEARAPIST
Contact information
Practice address
801 N TIBBS RD, DALTON, GA 30720-2948
(706) 279-1336
Mailing address
PO BOX 2681, DALTON, GA 30722-2681
(706) 279-1336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005007
GA
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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