GINA MARIE WIEDRICH

CANTON, GA
NPI1831331024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT001530)
Enumeration Date2009-04-02
Last Update Date2009-04-02
Business Address
-- GINA MARIE WIEDRICH MT
2920 MARIETTA HWY STE 108
CANTON, GA 30114-8207
Phone number: 678-880-7346
Mailing Address
-- GINA MARIE WIEDRICH MT
619 REDWOOD LN
CANTON, GA 30114-7788
Phone number: 678-880-7346