Individual
SHAWNTEL RENEE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 OWEN DR, FAYETTEVILLE, NC 28304-3409
(919) 478-6276
Mailing address
207 OWEN DR, FAYETTEVILLE, NC 28304-3409
(919) 478-6276
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21022
NC
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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