Individual
MR. SHANON LEE ST. GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3461 LAWRENCEVILLE SUWANEE RD STE B, SUWANEE, GA 30024-6428
(678) 554-5555
Mailing address
3461 LAWRENCEVILLE SUWANEE RD STE B, SUWANEE, GA 30024-6428
(678) 554-5555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT010277
GA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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