Individual
MRS. ANGELA YVETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
3634 CEDAR BLUFF CT, DOUGLASVILLE, GA 30135-7657
(678) 910-0832
Mailing address
3634 CEDAR BLUFF CT, DOUGLASVILLE, GA 30135-7657
(678) 910-0832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005039
GA
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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