REGINA LOUISE ELVIS

LAWRENCEVILLE, GA
NPI1730322827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: GA  MT004268)
Enumeration Date2009-04-20
Last Update Date2009-08-22
Business Address
Mrs. REGINA LOUISE ELVIS LMT
271A S CULVER ST
LAWRENCEVILLE, GA 30045-4805
Phone number: 770-676-6383
Mailing Address
Mrs. REGINA LOUISE ELVIS LMT
647 REBECCA ST
LAWRENCEVILLE, GA 30045-7475
Phone number: 770-378-6666
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