Individual
QUANTANIQUE SHANTE WILLIAMS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CHD
Contact information
Practice address
1155 KACHINA DR, COLORADO SPRINGS, CO 80915-3025
(562) 810-9195
Mailing address
1155 KACHINA DR, COLORADO SPRINGS, CO 80915-3025
(562) 810-9195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024894
CO
374J00000X
Doula
—
—
Other
Enumeration date
10/26/2023
Last updated
12/03/2024
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