Individual
KAREN LEE SHAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1421 CLARKVIEW RD, SUITE 206, BALTIMORE, MD 21209-2133
(410) 296-2644
Mailing address
404 DUNKIRK RD, BALTIMORE, MD 21212-1815
(410) 929-6241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M24717
MD
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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