Individual
TAMANIKA M ODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3485 N DESERT DR STE 100, EAST POINT, GA 30344-5724
(404) 855-1612
Mailing address
PO BOX 370343, DECATUR, GA 30037-0343
(404) 855-1612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
GA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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