Individual
QUANIESSA ROCHELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 OAK DR # 2, ATLANTA, GA 30354-1228
(470) 257-5896
Mailing address
449 OAK DR # 2, ATLANTA, GA 30354-1228
(470) 257-5896
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009704
GA
Other
Enumeration date
10/20/2020
Last updated
11/12/2020
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