Individual
SHAUNA NICOLE MOBLEY
Active
Individual
SHAUNA NICOLE MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
141922
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141922
ALASKA MASSAGE THERAPY LICENSE
AK
Enumeration date
05/30/2019
Last updated
06/11/2019
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