Individual
SAKARI VEDA-JEAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5005 LAWRENCEVILLE HWY NW STE A, LILBURN, GA 30047-4946
(470) 920-0395
Mailing address
6277 CREEKFORD DR, LITHONIA, GA 30058-7914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013617
GA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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