Individual
SHANNON THERESA WATERS-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 PALM AVE, TARPON SPRINGS, FL 34689-2426
(727) 504-4969
Mailing address
40946 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-5446
(727) 504-4969
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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