Adele Marie Ngo Banack
Adele Marie Ngo Banack is a Massage Therapist in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
1755 N Brown Rd Ste 200Lawrenceville, GA 30043-2018
Phone: (678) 851-9972
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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 MT006744 (GA) |
|---|
Record details
| NPI number | 1972260735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 29, 2021 |
| Last updated in NPPES | November 29, 2021 |
| Certification date | October 5, 2021 |
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