Individual
KRYSTLE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 HIGHWAY 314, SUITE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
Mailing address
290 HIGHWAY 314, SUITE B, FAYETTEVILLE, GA 30214-7813
(404) 994-7727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
09/07/2016
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