Individual
BAJA ALICIA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
126 W MADISON ST, DUBLIN, GA 31021-5175
(478) 303-0004
Mailing address
126 W MADISON ST, DUBLIN, GA 31021-5175
(478) 304-0004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014362
GA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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