Individual
JALEN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
3161 HOWELL MILL RD NW, ATLANTA, GA 30327-2135
(404) 351-5812
Mailing address
2200 PARKLAKE DR NE APT 1325, ATLANTA, GA 30345-2882
(478) 973-5259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013620
GA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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