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LASHAUNTE SHUNTARIO LANCASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COSMETOLOGIST

Contact information

Practice address
5945 W HALLANDALE BEACH BLVD, WEST PARK, FL 33023-5245
(954) 241-0444
Mailing address
6601 SW 20TH ST, MIRAMAR, FL 33023-2148
(954) 588-8641

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CL1171630
FL

Other

Enumeration date
08/10/2010
Last updated
08/10/2010
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