Keaundria Shaquille Broomfield, MT

NPI #1215548391 in Statesboro, Georgia

Provider Information

NPI Number: 1215548391
Entity Type: Individual
Name: Keaundria Shaquille Broomfield, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Aug 12, 2020
Last Updated: Aug 12, 2020

Practice Location

Address: 116 SAVANNAH AVE
City: Statesboro
State: Georgia
ZIP Code: 30458-4801
Phone: (912) 243-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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