Individual
SHENTERIA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3906 VINE GATE DR, LITHONIA, GA 30038-3741
(404) 317-5402
Mailing address
3906 VINE GATE DR, LITHONIA, GA 30038-3741
(404) 317-5402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015153
GA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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