Individual
LATASHA MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 PRESTON PARK DR, DULUTH, GA 30096-8826
(678) 913-6645
Mailing address
1402 PRESTON PARK DR, DULUTH, GA 30096-8826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012893
GA
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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