Individual
SHA'DAVEYA LA'SHELL MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E UNIVERSITY, MAGNOLIA, AR 71753-2181
(870) 235-4142
Mailing address
2709 S MAIN ST APT 3, HOPE, AR 71801-8952
(870) 826-8332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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