Individual
SHATAMIA M LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 SHAWI PASS, LEANDER, TX 78641-3182
(512) 529-3404
Mailing address
159 SHAWI PASS, LEANDER, TX 78641-3182
(512) 529-3404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123920
TX
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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