Individual
ALISHIA BRYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 PONDER PLACE DR, EVANS, GA 30809-3118
(706) 993-6404
Mailing address
677 KINGSTON RD, GROVETOWN, GA 30813-4622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005802
GA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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