Individual
SHALAND MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7005 N MAPLE AVE STE 104, FRESNO, CA 93720-8009
(559) 325-3503
(559) 325-3504
Mailing address
7005 N MAPLE AVE STE 104, FRESNO, CA 93720-8009
(559) 325-3503
(559) 325-3504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89576
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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