Individual
CRETIA LYNNE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
16 LIBRARY LN, TIFTON, GA 31794-4415
(229) 821-1704
Mailing address
36 SANDHAMMOCK LAKE RD, TIFTON, GA 31793-6847
(229) 821-1704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010686
GA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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