Individual
GINA BRANNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4706 MAGNOLIA RIDGE DR, WAXHAW, NC 28173-9020
(704) 219-2655
Mailing address
PO BOX 42, WAXHAW, NC 28173-1038
(704) 219-2655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6239
NC
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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