Shanavia Natae Dickerson
Shanavia Natae Dickerson is a Massage Therapist in Jonesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
1731 Tilden AveJonesboro, GA 30236-3744
Phone: (470) 549-5131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT012487 (GA) |
|---|
Record details
| NPI number | 1104439975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2020 |
| Last updated in NPPES | August 31, 2020 |
| Certification date | August 31, 2020 |
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