Individual
MS. LAILYN PINEDA BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3550 GA HIGHWAY 20 SOUTH, CONYERS, GA 30013-2877
(678) 607-0640
Mailing address
3550 GA HIGHWAY 20 SOUTH, CONYERS, GA 30013-2877
(678) 607-0640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003457
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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