Individual
SHAWNA RENAE GALONDA HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 E REYNOLDS ST, CASEYVILLE, IL 62232-1014
(618) 223-8333
(618) 551-4709
Mailing address
16 E REYNOLDS ST, CASEYVILLE, IL 62232-1014
(618) 223-8333
(618) 551-4709
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013189
IL
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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