Individual
ZANETA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1655 MANSELL RD, SUITE #234, ALPHARETTA, GA 30009-4850
(678) 414-2714
Mailing address
1655 MANSELL RD, SUITE #234, ALPHARETTA, GA 30009-4850
(678) 414-2714
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000331
GA
Other
Enumeration date
10/12/2015
Last updated
10/13/2015
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