Individual
SHARDE LAURIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1323 E UPSAL ST, PHILADELPHIA, PA 19150-2209
(215) 316-4270
Mailing address
1323 E UPSAL ST, PHILADELPHIA, PA 19150-2209
(215) 316-4270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014771
PA
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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