Individual
MELINDA ANNE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
201 NEW BRIDGE ST STE 202, JACKSONVILLE, NC 28540-4736
(910) 581-1387
Mailing address
201 NEW BRIDGE ST STE 202, JACKSONVILLE, NC 28540-4736
(910) 581-1387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18005
NC
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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