Individual
MONIQUE ALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5910 GA HIGHWAY 21 S, RINCON, GA 31326-5505
(912) 944-7136
Mailing address
16 TWELVE OAKS RD, PORT WENTWORTH, GA 31407-6009
(912) 944-7126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007691
GA
Other
Enumeration date
10/03/2023
Last updated
11/02/2023
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