Individual
AYESHA NESBETH-AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E CROSSVILLE RD STE E-111, ROSWELL, GA 30075-5817
(770) 740-2609
Mailing address
425 E CROSSVILLE RD STE E-111, ROSWELL, GA 30075-5817
(770) 740-2609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010864
GA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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