ADELE MARIE NGO BANACK

LAWRENCEVILLE, GA
NPI1972260735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT006744)
Enumeration Date2021-11-29
Last Update Date2021-11-29
Business Address
ADELE MARIE NGO BANACK
1755 N BROWN RD STE 200
LAWRENCEVILLE, GA 30043-2018
Phone number: 678-851-9972
Mailing Address
ADELE MARIE NGO BANACK
1755 N BROWN RD STE 200
LAWRENCEVILLE, GA 30043-2018
Phone number: 678-851-9972