Individual
SHERELL PARIS WARDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 BRENDA DR, JACKSONVILLE, NC 28546-5851
(989) 890-6679
Mailing address
126 BRENDA DR, JACKSONVILLE, NC 28546-5851
(989) 890-6679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016335
MI
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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