Individual
DIANNA N KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3685 OLD PETERSBURG RD, 100, MARTINEZ, GA 30907-0828
(706) 339-2787
Mailing address
3685 OLD PETERSBURG RD, 100, MARTINEZ, GA 30907-0828
(706) 339-2787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22570000X
GA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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