Individual
MRS. TRACI DAWN BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1058 GOVERNMENT RD, CLAYTON, NC 27520-7770
(919) 464-0413
Mailing address
1058 GOVERNMENT RD, CLAYTON, NC 27520-7770
(919) 464-0413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16555
NC
Other
Enumeration date
02/13/2024
Last updated
02/14/2024
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