Individual
PIERRE SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1549 CLAIRMONT RD STE 202, DECATUR, GA 30033-4635
(646) 924-5040
Mailing address
6380 THE TRAIL, STONE MOUNTAIN, GA 33008-7
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT005872
MASSAGE THERAPIST
GA
Enumeration date
05/01/2020
Last updated
05/01/2020
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