Individual
LIYAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
282 RUCKER RD, ALPHARETTA, GA 30004-5826
(770) 559-1764
Mailing address
282 RUCKER RD, ALPHARETTA, GA 30004-5826
(770) 559-1764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013312
GA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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