Individual
KE'ANDRE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3088
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16469
NC
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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