Individual
KIM DESUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 SANDY SPRINGS CIR, ATLANTA, GA 30328-3816
(904) 521-6307
Mailing address
1898 SPRING RD SE APT 10L, SMYRNA, GA 30080-2564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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