Individual
LAURA NICOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
141 PRESLEY LN, WILMINGTON, NC 28411-6215
(910) 726-0416
Mailing address
141 PRESLEY LN, WILMINGTON, NC 28411-6215
(910) 726-0416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18446
NC
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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