Jessie Leo Walker MASSAGE THERAPIST

NPI 1356544829 - Contractor - 171W00000X

NPI Details
NPI 1356544829
Gender Male
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6272 E WINDSOR LN
NORCROSS GA, 30093-1363, US
Phone (770) 934-5264
Fax
Business Location
6272 E WINDSOR LN
NORCROSS GA, 30093-1363, US
Phone (770) 934-5264
Fax
Toxanomy
Taxonomy Code 171W00000X
License State Georgia
License Number MT001245
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According to our database, Mr. Jessie Leo Walker MASSAGE THERAPIST NPI is 1356544829, taxonomy code is 171W00000X and license number is MT001245, license state is located at Georgia. Jessie Leo Walker MASSAGE THERAPIST physically located at 6272 E Windsor Ln, Norcross GA, 30093-1363. NPI Number Jessie Leo Walker MASSAGE THERAPIST has the Individual type.

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1356544829 NPI number is provided on an as is basis without warranty of any kind. 1356544829 is maintained by the National Plan & Provider Enumeration System. The contents of Jessie Leo Walker MASSAGE THERAPIST are for informational purposes only.