Individual
MRS. RENEE M. RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
542 CHAPMAN LN, MARIETTA, GA 30066-3669
(404) 271-6277
Mailing address
542 CHAPMAN LN, MARIETTA, GA 30066-3669
(404) 271-6277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005712
GA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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