Individual
JESSICA JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
193 E PIKE ST STE B, LAWRENCEVILLE, GA 30046-5019
(678) 915-9395
Mailing address
725 ROSE BROOKE DR, LAWRENCEVILLE, GA 30045-5411
(404) 759-8476
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
ES008435
GA
247200000X
Other Technician
—
GA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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