Individual
ASHLEY MIEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3891 CARRIAGE LN SW, CONYERS, GA 30094-4062
(678) 735-8988
Mailing address
3891 CARRIAGE LN SW, CONYERS, GA 30094-4062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111111
DONT HAVE
GA
Enumeration date
09/01/2020
Last updated
07/21/2022
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