Individual
THALISE VIEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, MA
Contact information
Practice address
15 MOUNTAINSIDE LN, SANFORD, NC 27332-9509
(910) 635-6324
Mailing address
15 MOUNTAINSIDE LN, SANFORD, NC 27332-9509
(910) 635-6324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8621
NC
246RP1900X
Phlebotomy Technician
—
NY
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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