Individual
MARIE ALANA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS.2553
SC
225700000X
Massage Therapist
MT004843
GA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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