Individual
YOLANDA SHACKLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
Mailing address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008069
VA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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