Individual
AMANDA JEAN MORETZ STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4595 CANDA DR NW, LILBURN, GA 30047-3567
(404) 645-4469
Mailing address
4595 CANDA DR NW, LILBURN, GA 30047-3567
(404) 645-4469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008804
GA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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