Individual
CHANEL BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
108 WIND CHIME CT, RALEIGH, NC 27615-6433
(919) 492-9237
Mailing address
3456 LACEWING DR, ZEBULON, NC 27597-6275
(919) 492-9237
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14743
NC
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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