Individual
SHANTOLL BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
450 PEARL ST STE 3, STOUGHTON, MA 02072-1617
(857) 755-2679
Mailing address
450 PEARL ST STE 3, STOUGHTON, MA 02072-1617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15234
MA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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