Individual
ALLYSE DELANE HOLLOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4844 NATURE TRL, AUSTELL, GA 30106-2771
(470) 893-3441
Mailing address
4844 NATURE TRL, AUSTELL, GA 30106-2771
(470) 893-3441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010958
GA
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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