SHASTA LESLIE

MCDONOUGH, GA
NPI1730019993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  Mt011977)
Enumeration Date2026-05-20
Last Update Date2026-05-20
Business Address
SHASTA LESLIE
3018 SADDLECREEK DR
MCDONOUGH, GA 30253-8958
Phone number: 404-981-9537
Mailing Address
SHASTA LESLIE
3018 SADDLECREEK DR
MCDONOUGH, GA 30253-8958
Phone number: 404-981-9537