Individual
DEJA RENEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 LONDON WAY, LITHIA SPRINGS, GA 30122-6824
(404) 207-8940
Mailing address
1313 LONDON WAY, LITHIA SPRINGS, GA 30122-6824
(404) 207-8940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013232
GA
Other
Enumeration date
12/07/2020
Last updated
01/01/2021
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