Individual
SHAVONDA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 CORONA DR STE 172, CORPUS CHRISTI, TX 78411-4361
(361) 947-0958
Mailing address
5757 S STAPLES ST APT 4609, CORPUS CHRISTI, TX 78413-3754
(806) 886-8194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132447
TX
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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