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Individual

MISS SHAQUITA YVETTE MERRIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 BISCAYNE DR NW, 708, ATLANTA, GA 30309-1090
(404) 808-5763
Mailing address
PO BOX 19514, ATLANTA, GA 30325-0514
(404) 808-5763

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PHTC014226
GA
175L00000X
Homeopath
225700000X
Massage Therapist
Primary
MT011362
GA

Other

Enumeration date
12/28/2012
Last updated
04/08/2024
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