Individual
ANGISELIS LOURDES FELICIANO MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4408 COLUMBIA RD STE 106, MARTINEZ, GA 30907-4561
(984) 220-6394
Mailing address
5093 COPSE DR, AUGUSTA, GA 30909-9850
(984) 220-6394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014822
GA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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