Individual
MISS STEPHANIE DYANNE HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3060 PHARR COURT NORTH NW APT 302, ATLANTA, GA 30305-2025
(901) 319-8892
Mailing address
3060 PHARR COURT NORTH NW APT 302, ATLANTA, GA 30305-2025
(901) 319-8892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014647
GA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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