Individual
AMY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
4505 BRADSTONE TRCE NW, LILBURN, GA 30047-8019
(404) 916-0583
Mailing address
4505 BRADSTONE TRCE NW, LILBURN, GA 30047-8019
(404) 916-0583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006326
GA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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