Individual
EMMOUNE DENISE FOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 N DRUID HILLS RD, DECATUR, GA 30033-3015
(404) 486-9644
Mailing address
4449 ROCK VALLEY DR, FOREST PARK, GA 30297-1580
(678) 699-9609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013762
GA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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