Individual
DIANA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 EASTWOOD TRL, SNELLVILLE, GA 30078-4150
(404) 447-4623
Mailing address
3311 EASTWOOD TRL, SNELLVILLE, GA 30078-4150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005581
GA
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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