Individual
MRS. LAMONICA P STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 WEISENBERGER RD STE 200, MADISON, MS 39110-5012
(601) 812-8991
Mailing address
242 SHARON RD, CANTON, MS 39046-9666
(601) 812-8991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2382
MS
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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