Individual
ALEXX LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMLDT
Contact information
Practice address
705 TOWN BLVD NE APT 546, BROOKHAVEN, GA 30319-3087
(510) 485-1033
Mailing address
705 TOWN BLVD NE APT 546, BROOKHAVEN, GA 30319-3087
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013375
GA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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