Individual
KAZIEL AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5308 WEYDEN CT APT D, NORCROSS, GA 30071-4434
(770) 744-9433
Mailing address
5308 WEYDEN CT APT D, NORCROSS, GA 30071-4434
(770) 744-9433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010579
GA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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