Ellen Mcqueen LMT

NPI 1215243266 - Massage Therapist - 225700000X

NPI Details
NPI 1215243266
Gender Female
Enumeration Date 08/27/2010
Last Updated 08/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
330 GLENDALE AVE NE
ATLANTA GA, 30307-2125, US
Phone (404) 378-9817
Fax
Business Location
330 GLENDALE AVE NE
ATLANTA GA, 30307-2125, US
Phone (404) 378-9817
Fax
Toxanomy
Taxonomy Code 225700000X
License State Georgia
License Number MT003342
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According to our database, Ellen Mcqueen LMT NPI is 1215243266, taxonomy code is 225700000X and license number is MT003342, license state is located at Georgia. Ellen Mcqueen LMT physically located at 330 Glendale Ave Ne, Atlanta GA, 30307-2125. NPI Number Ellen Mcqueen LMT has the Individual type.

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1215243266 NPI number is provided on an as is basis without warranty of any kind. 1215243266 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Mcqueen LMT are for informational purposes only.