Individual
MONIQUE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNMT
Contact information
Practice address
7203 MUIRFIELD RUN, NORCROSS, GA 30093-3396
(404) 750-5090
Mailing address
7203 MUIRFIELD RUN, NORCROSS, GA 30093-3396
(404) 750-5090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013260
GA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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