Individual
JIRAH CANDICE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1887 JONESBORO RD, MCDONOUGH, GA 30253-6216
(470) 973-2588
Mailing address
1327 VINE CIR, MCDONOUGH, GA 30253-4695
(470) 973-2588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009895
GA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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