Individual
LELA C ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 HANNOVER PL, STOCKBRIDGE, GA 30281-7899
(813) 758-9998
Mailing address
408 HANNOVER PL, STOCKBRIDGE, GA 30281-7899
(813) 758-9998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013431
GA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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