CHARLES PHOENIX

SAVANNAH, GA
NPI1437922044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OH  33.026595)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
CHARLES PHOENIX
14030 ABERCORN ST
SAVANNAH, GA 31419-1935
Phone number: 912-712-2152
Mailing Address
CHARLES PHOENIX
3123 CHASE ST
TOLEDO, OH 43611-3204
Phone number: 567-702-1151