Individual
MS. SHEVETTE LAPRAIL MAULTSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, HHP
Contact information
Practice address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88728
CA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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