Individual
SUZANNE KAE DECANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5454 RESEDA CT UNIT A, NORCROSS, GA 30071-3157
(770) 605-9457
Mailing address
5454 RESEDA CT UNIT A, NORCROSS, GA 30071-3157
(770) 605-9457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007067
GA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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