Individual
ALISA JOVAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
659 AUBURN AVE NE # 22, ATLANTA, GA 30312-1940
(404) 890-0713
Mailing address
659 AUBURN AVE NE # 22, ATLANTA, GA 30312-1940
(404) 890-0713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010377
GA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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