Depamelia C Brown
Massage Therapist in Snellville, GA. Individual provider (NPI-1).
NPI number1750059531
StatusActive
Last updated in NPPESSep 5, 2021
Details
- NPI
- 1750059531
- Entity type
- Individual (NPI-1)
- Name
- Depamelia C Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2021
- Certification date
- Sep 5, 2021
- Last updated
- Sep 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT003240 | GA | Yes |
Practice location
2330 Scenic Hwy S Ste 213Snellville, GA 30078-3115
Phone 678-760-2932
Mailing address
4308 Lealand Place LnLawrenceville, GA 30044-8304
Phone 678-760-2932
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