Individual
JENNIFER ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2777 OLDE GATE CT, SNELLVILLE, GA 30078-2015
(678) 575-0769
Mailing address
2777 OLDE GATE CT, SNELLVILLE, GA 30078-2015
(678) 575-0769
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-003762
GA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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