Individual
MARTIN CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 GABLES DR NE, BROOKHAVEN, GA 30319-4192
(915) 777-2224
Mailing address
1235 GABLES DR NE, BROOKHAVEN, GA 30319-4192
(915) 777-2224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013398
GA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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