Individual
NECHE' MCKINNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 CLUB DR APT 502, DULUTH, GA 30096-8297
(925) 446-5703
Mailing address
3920 CLUB DR APT 502, DULUTH, GA 30096-8297
(925) 446-5703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013228
GA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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