Individual
MONICA MEDEA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 EMBASSY ROW STE 110, ATLANTA, GA 30328-5723
(770) 394-7074
Mailing address
1036 WHITFIELD CT SE, SMYRNA, GA 30080-2241
(770) 572-1612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003968
GA
Other
Enumeration date
08/28/2021
Last updated
05/06/2022
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