Odena Lillian Wright

NPI 1093029936 - Massage Therapist - 225700000X

NPI Details
NPI 1093029936
Gender Female
Enumeration Date 08/03/2010
Last Updated 07/16/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
376 NORTH GLYNN ST.
FAYETTEVILLE GA, 30214, US
Phone (404) 312-0486
Fax (404) 261-7555
Business Location
P.O. BOX 191782
ATLANTA GA, 30319, US
Phone (404) 312-0486
Fax (404) 261-7555
Toxanomy
Taxonomy Code 225700000X
License State Georgia
License Number MT000794
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According to our database, Mrs. Odena Lillian Wright NPI is 1093029936, taxonomy code is 225700000X and license number is MT000794, license state is located at Georgia. Odena Lillian Wright physically located at 376 North Glynn St., Fayetteville GA, 30214. NPI Number Odena Lillian Wright has the Individual type.

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1093029936 NPI number is provided on an as is basis without warranty of any kind. 1093029936 is maintained by the National Plan & Provider Enumeration System. The contents of Odena Lillian Wright are for informational purposes only.