Individual
ANGELA RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3062 DAMASCUS RD, SUITE R, AUGUSTA, GA 30909-4068
(706) 831-2648
Mailing address
3062 DAMASCUS RD, SUITE R, AUGUSTA, GA 30909-4068
(706) 831-2648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002459
GA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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