Individual
SHAKIRA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 N MAIN ST, DUNCANVILLE, TX 75116-3653
(469) 987-5040
Mailing address
1431 CASSANDRA CIR, DESOTO, TX 75115-3010
(469) 987-5040
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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