Individual
NAOMI E HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNMT
Contact information
Practice address
113 CRAMERTON PL, BONAIRE, GA 31005-3251
(719) 209-4694
Mailing address
113 CRAMERTON PL, BONAIRE, GA 31005-3251
(719) 209-4694
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012447
GA
Other
Enumeration date
02/04/2019
Last updated
01/07/2020
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