Individual
SHAENA MARIE HOLLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
5575 N CROATAN HWY, SOUTHERN SHORES, NC 27949-3996
(252) 722-2713
Mailing address
231 W LOOKOUT RD, NAGS HEAD, NC 27959-9451
(252) 216-8072
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4330
NC
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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