Individual
CATONYA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 1ST AVE SW UNIT A, CONYERS, GA 30012-5214
(404) 610-1671
Mailing address
690 1ST AVE SW UNIT A, CONYERS, GA 30012-5214
(404) 610-1671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009959
GA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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