Individual
MS. SAFAYIA PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1420 CAMBRIDGE AVE, COLLEGE PARK, GA 30337-2208
(706) 691-7824
Mailing address
1420 CAMBRIDGE AVE, COLLEGE PARK, GA 30337-2208
(706) 691-7824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005725
GA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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