Individual
MS. LILIANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 W WALNUT AVE, DALTON, GA 30720-3995
(706) 529-1149
Mailing address
1212 W WALNUT AVE, DALTON, GA 30720-3995
(706) 529-1149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007488
GA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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