Larina Deireland Matthews
Larina Deireland Matthews is a Massage Therapist in Fairburn, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
6375 Capitol KnlFairburn, GA 30213-4430
Phone: (414) 803-7188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT011474 (GA) |
|---|
Record details
| NPI number | 1427663319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 9, 2020 |
| Last updated in NPPES | October 25, 2020 |
| Certification date | October 25, 2020 |
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