Individual
EVELYN CHAMPAYNE SEMIDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1411 CAMERON CT, WILMINGTON, NC 28401-7906
(910) 409-7146
Mailing address
1411 CAMERON CT, WILMINGTON, NC 28401-7906
(910) 409-7146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15492
NC
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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