Individual
JASMINE R MOON-WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2996 STREAM VW, ATLANTA, GA 30349-7981
(770) 309-0540
Mailing address
2996 STREAM VW, ATLANTA, GA 30349-7981
(770) 309-0540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013530
GA
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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