Individual
LAQUITA A STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3487 US HIGHWAY 441 S, DUBLIN, GA 31021-1229
(478) 697-4243
Mailing address
514 BELLEVUE AVE UNIT 4922, DUBLIN, GA 31040-7847
(478) 697-4243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009573
GA
Other
Enumeration date
02/01/2022
Last updated
02/10/2022
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