Individual
SHAKIA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 JAMESTOWN RD, WILLIAMSBURG, VA 23185-3381
(757) 299-4161
Mailing address
3302 CANDLEWOOD DR, HAMPTON, VA 23666-3802
(540) 735-7882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012780
VA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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