SHAJUAN VIRGIL

THOMASVILLE, GA
NPI1649869264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT001526)
Additional Taxonomies224L00000X Pedorthist
(Licence: GA  CPed4585)
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
SHAJUAN VIRGIL C.Ped., LMT
108 BAYTREE DR
THOMASVILLE, GA 31792-8861
Phone number: 678-682-4493
Mailing Address
SHAJUAN VIRGIL C.Ped., LMT
PO BOX 2428
ACWORTH, GA 30102-0008
Phone number: 678-682-4493
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