Individual
JACLYN CELESTE LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2218 WATSON BLVD, WARNER ROBINS, GA 31093-2987
(478) 971-4110
Mailing address
222 PETTIGREW RD NW, MILLEDGEVILLE, GA 31061-9791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
GA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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