Individual
TARA DENISE LONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1185 S PARK DR STE A, KERNERSVILLE, NC 27284-3114
(336) 448-3890
Mailing address
1185 S PARK DR STE A, KERNERSVILLE, NC 27284-3114
(336) 448-3890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12795
NC
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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