Individual
QUA'SHELLEA FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10216 3RD AVE STE C, DIBERVILLE, MS 39540-2543
(228) 296-6130
(228) 296-6130
Mailing address
890 MOTSIE RD APT 424, BILOXI, MS 39532-9597
(228) 296-6130
(228) 296-6130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2921
MS
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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