Individual
TIANA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 ROGERS ST NE APT 117, ATLANTA, GA 30317-1035
(678) 856-3864
Mailing address
206 ROGERS ST NE APT 117, ATLANTA, GA 30317-1035
(678) 856-3864
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006114
GA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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