Organization
CHILL OUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE J. HOGAN M.T. (MASSAGE THERAPIST)
(678) 898-6530
Entity
Organization
Contact information
Practice address
11205 ALPHARETTA HWY STE G2, ROSWELL, GA 30076-5647
(678) 656-6025
Mailing address
11205 ALPHARETTA HWY STE G2, ROSWELL, GA 30076-5647
(678) 656-6025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002098
GA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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