Individual
MRS. TASHA WAKLATSI GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 HOWELL MILL RD NW APT 3205, ATLANTA, GA 30318-5588
(770) 378-6506
Mailing address
3604 MAIN STATION DR SW, MARIETTA, GA 30008-6056
(770) 378-6506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013882
GA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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