Individual
ERIN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11826 LION CUB LN, CHARLOTTE, NC 28273-4607
(704) 228-3765
Mailing address
11826 LION CUB LN, CHARLOTTE, NC 28273-4607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14858
NC
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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