Individual
LAWANDA SHAUNTE' ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3852 GRACELAND DR, MEMPHIS, TN 38116-5247
(901) 335-6662
Mailing address
3852 GRACELAND DR, MEMPHIS, TN 38116-5247
(901) 335-6662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4525
TN
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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