Individual
MS. KALEAH BRIANNA DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1883 WELLBORN RD, LITHONIA, GA 30058-3527
(215) 406-0452
Mailing address
1883 WELLBORN RD, LITHONIA, GA 30058-3527
(215) 406-0452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014604
GA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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