Individual
MRS. IRENE MEILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 E MAIN ST, CANTON, GA 30114-2712
(770) 877-0752
Mailing address
321 E MAIN ST, CANTON, GA 30114-2712
(770) 877-0752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008234
GA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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