Individual
SHAKIRA B BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2007 CHAPEL HILL RD, DURHAM, NC 27707-1109
(919) 623-6794
Mailing address
1213 CARROLL ST, DURHAM, NC 27707-1311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12449
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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