Individual
DR. NINA DMITRIEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNH, LMT, MLD-C, CCT
Contact information
Practice address
1014 CANTON ST, ROSWELL, GA 30075-3615
(404) 904-7736
Mailing address
185 THATCHING LN, ALPHARETTA, GA 30022-7376
(917) 710-2766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013198
GA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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