Individual
MRS. RITA MONG BRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
180 TREADSTONE OVERLOOK, SUWANEE, GA 30024-1530
(404) 513-4226
Mailing address
180 TREADSTONE OVERLOOK, SUWANEE, GA 30024-1530
(404) 513-4226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000217
GA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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