Individual
FIORDALIZA GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2771 CRUZ ROAD, SUITE 2, LAWRENCEVILLE, GA 30044-3004
(678) 770-4766
Mailing address
2848 PORTER DR, LAWRENCEVILLE, GA 30044-7119
(678) 770-4766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MTO11772
GA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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