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Individual

ARYNETTE NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
870 CRESTMARK DR STE 102, LITHIA SPRINGS, GA 30122-2665
(770) 948-8000
Mailing address
870 CRESTMARK DR STE 102, LITHIA SPRINGS, GA 30122-2665
(770) 948-8000

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0011543
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT011543
MASSAGE LICENSE
GA
Enumeration date
07/08/2021
Last updated
07/08/2021
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