Individual
KARA DANIELLE BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 HOWELL MILL RD NW STE 410, ATLANTA, GA 30327-2117
(404) 351-5812
Mailing address
PO BOX 1685, PALM HARBOR, FL 34682-1685
(727) 287-6300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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