Individual
MS. CHAUNTEY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ESTHETICIAN
Contact information
Practice address
1540 HIGHWAY 138 SE STE 2A, CONYERS, GA 30013-5723
(678) 374-7650
Mailing address
1705 HIGHWAY 138 SE UNIT 81206, CONYERS, GA 30013-0136
(678) 859-3828
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
FS888340
FL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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