Individual
JOANNE SERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 WINDCHASE LN, STONE MOUNTAIN, GA 30083-6328
(404) 391-9098
Mailing address
730 WINDCHASE LN, STONE MOUNTAIN, GA 30083-6328
(404) 391-9098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006929
GA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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