Individual
DENA M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 BAY CT, WARNER ROBINS, GA 31088-4332
(478) 595-8425
Mailing address
107 BAY CT, WARNER ROBINS, GA 31088-4332
(478) 595-8425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007353
GA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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