Individual
HEIKO AMPARO PINERO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 MCCONNELL DR STE A, DECATUR, GA 30033-3505
(770) 576-5906
Mailing address
810 MOUNTBURY CT, CLARKSTON, GA 30021-2545
(770) 576-5906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014006
GA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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