Individual
MS. AUDREY LYNN LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 09629
Contact information
Practice address
109 TWILA LN, EDEN, NC 27288-4339
(336) 589-0347
Mailing address
109 TWILA LN, EDEN, NC 27288-4339
(336) 589-0347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
09629
NC
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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