Individual
TAIKA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1724 DERRILL DR, DECATUR, GA 30032-4629
(404) 781-3843
Mailing address
PO BOX 1701, PINE LAKE, GA 30072-1701
(404) 781-3843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001080
GA
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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