SHUUICHI ODA

CUMMING, GA
NPI1760752133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT006906)
Enumeration Date2012-01-03
Last Update Date2013-05-14
Business Address
Mr. SHUUICHI ODA LMT
1340 GRAN FOREST DR
CUMMING, GA 30041-6599
Phone number: 770-889-5406
Mailing Address
Mr. SHUUICHI ODA LMT
1340 GRAN FOREST DR
CUMMING, GA 30041-6599
Phone number: 770-889-5406