Individual
SHYKELA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 OXFORD AVE APT 2M, PHILADELPHIA, PA 19111-4058
(267) 258-7951
Mailing address
7210 OXFORD AVE APT 2M, PHILADELPHIA, PA 19111-4058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011924
PA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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