Individual
DANITA RENEE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2330 SCENIC HWY S STE 115, SNELLVILLE, GA 30078-3115
(678) 824-7005
(678) 252-2104
Mailing address
2330 SCENIC HWY S STE 115, SNELLVILLE, GA 30078-3115
(678) 824-7005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011369
GA
Other
Enumeration date
03/14/2008
Last updated
07/30/2021
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