Individual
SHANIKWA DANIELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2926 LANTANA LN, DALLAS, TX 75241-1634
(214) 991-5900
Mailing address
2926 LANTANA LN, DALLAS, TX 75241-1634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107348
TX
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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