Individual
MS. TONYA DELISHIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 SMITHVILLE CHURCH RD, WARNER ROBINS, GA 31088-6485
(478) 953-3001
Mailing address
4658 MERCER UNIVERSITY DR, MACON, GA 31210-5600
(478) 719-7932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007666
GA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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