Individual
ELIZABETH NICOLE WIMBISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #17194
Contact information
Practice address
835 MERITA ST, MOUNT AIRY, NC 27030-2763
(336) 783-7652
Mailing address
835 MERITA ST, MOUNT AIRY, NC 27030-2763
(336) 783-7652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17194
NC
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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