Individual
GLENDA P SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
10521 SW 124TH AVE, MIAMI, FL 33186-3641
(480) 374-9577
Mailing address
PO BOX 163156, MIAMI, FL 33116-3156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58053
FL
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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