Individual
JESSICA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
845 MONTECRUZ DR, LAWRENCEVILLE, GA 30045-7189
(404) 513-8404
Mailing address
845 MONTECRUZ DR, LAWRENCEVILLE, GA 30045-7189
(404) 513-8404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011837
GA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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