Individual
YJUANIA WORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMT
Contact information
Practice address
3293 STONE MOUNTAIN HWY, SNELLVILLE, GA 30078-6856
(678) 785-7888
Mailing address
527 JULIUS DR, STONE MOUNTAIN, GA 30087-5904
(404) 626-9708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001236
GA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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