Individual
MRS. ICA DRAUGHN ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NC LMBT# 12464
Contact information
Practice address
492 N MAIN ST, MOUNT AIRY, NC 27030-3814
(336) 783-0055
(336) 648-8084
Mailing address
492 N MAIN ST, MOUNT AIRY, NC 27030-3814
(336) 783-0055
(336) 648-8084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12464
NC
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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