DANIEL MALACHITE MEREWETHER

DECATUR, GA
NPI1356944854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT012554)
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
Mr. DANIEL MALACHITE MEREWETHER LMT
2266 COBB CREEK DR
DECATUR, GA 30032-6175
Phone number: 727-385-6679
Mailing Address
Mr. DANIEL MALACHITE MEREWETHER LMT
2266 COBB CREEK DR
DECATUR, GA 30032-6175
Phone number: 727-385-6679