FAYE JEAN MELLARD

LAWRENCEVILLE, GA
NPI1932617503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT004030)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-01-17
Last Update Date2018-01-17
Business Address
Miss FAYE JEAN MELLARD LMT, NMT
237 SCENIC HWY
LAWRENCEVILLE, GA 30046-5621
Phone number: 404-731-1735
Mailing Address
Miss FAYE JEAN MELLARD LMT, NMT
158 PAPER MILL RD APT 4103
LAWRENCEVILLE, GA 30046-5345
Phone number: 404-645-1263