Individual
MRS. ODENA LILLIAN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 NORTH GLYNN ST., FAYETTEVILLE, GA 30214
(404) 312-0486
(404) 261-7555
Mailing address
P.O. BOX 191782, ATLANTA, GA 30319
(404) 312-0486
(404) 261-7555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000794
GA
Other
Enumeration date
08/03/2010
Last updated
07/16/2014
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