Individual
SHIRLEY JULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
502 W 45TH ST, SAVANNAH, GA 31405-1921
(334) 439-9508
Mailing address
502 W 45TH ST, SAVANNAH, GA 31405-1921
(334) 439-9508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010398
GA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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