TENIQUA MOFFATTE

DOUGLASVILLE, GA
NPI1235722968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225000000X Orthotic Fitter
Enumeration Date2021-02-13
Last Update Date2021-02-13
Business Address
TENIQUA MOFFATTE
1688 JEFFERSON LN
DOUGLASVILLE, GA 30134-3249
Phone number: 470-848-2679
Mailing Address
TENIQUA MOFFATTE
1688 JEFFERSON LN
DOUGLASVILLE, GA 30134-3249
Phone number: 470-848-2679