Individual
SHAWNA L MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 109TH AVE NE, BLAINE, MN 55434-3846
(763) 208-4562
Mailing address
1061 109TH AVE NE, BLAINE, MN 55434-3846
(763) 208-4562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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