Individual
TASIA WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
6453 ALFORD WAY, LITHONIA, GA 30058-3141
(678) 693-0378
Mailing address
6453 ALFORD WAY, LITHONIA, GA 30058-3141
(678) 693-0378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
001234
GA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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