Individual
SHEWENDOLYN ELAINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
217 JONES ST APT 208, SHREVEPORT, LA 71101-4060
(615) 930-4695
Mailing address
217 JONES ST APT 208, SHREVEPORT, LA 71101-4060
(615) 930-4695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9593
LA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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