Osarietinme A Adenomo, LMT
Doula in Atlanta, GA. Individual provider (NPI-1).
NPI number1407606460
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1407606460
- Entity type
- Individual (NPI-1)
- Name
- Osarietinme A Adenomo
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2024
- Certification date
- Mar 23, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
| 225700000X | Massage Therapist | mt013247 | GA |
Practice location
483 Moreland Ave Ne Ste 1Atlanta, GA 30307-1530
Phone 262-353-1259
Mailing address
4134 Eliza DrStonecrest, GA 30038-6525
Phone 262-353-1259
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