Individual
MRS. DIONNE NICHOLE WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKESIDE CIR, COVINGTON, GA 30016-8845
(678) 449-6488
Mailing address
55 LAKESIDE CIR, COVINGTON, GA 30016-8845
(678) 449-6488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003461
GA
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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