Individual
SHANTE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2137 US HIGHWAY 80 E APT 307, MESQUITE, TX 75150-5531
(469) 705-0106
Mailing address
2137 US HIGHWAY 80 E APT 307, MESQUITE, TX 75150-5531
(469) 705-0106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136264
TX
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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