Individual
JEANNINE WARGACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 MISSY LN, WOODSTOCK, GA 30188-3140
(954) 328-1322
Mailing address
906 MISSY LN, WOODSTOCK, GA 30188-3140
(954) 328-1322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010845
GA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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