Individual
MARILYN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4294 MEMORIAL DR, STE D, DECATUR, GA 30032-1226
(404) 296-4888
(404) 296-8811
Mailing address
4294 MEMORIAL DR, STE D, DECATUR, GA 30032-1226
(404) 296-4888
(404) 296-8811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006080
GA
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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