Janisha Gore, LMBT
NPI #1952993040 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1952993040
- Entity Type
- Individual
- Name
- Janisha Gore, LMBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMBT
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 5211 MAIN ST STE 505
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-3442
- Phone
- (910) 269-9516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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