Individual
ALEXANDER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 DEKALB AVE SE APT 1445, ATLANTA, GA 30312-5409
(925) 209-6212
Mailing address
626 DEKALB AVE SE APT 1445, ATLANTA, GA 30312-5409
(925) 209-6212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013205
GA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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