Individual
MISS TENA R KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
147 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6466
(912) 375-2009
(912) 379-0081
Mailing address
PO BOX 1005, HAZLEHURST, GA 31539-1005
(912) 375-2009
(912) 379-0081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002516
GA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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