Individual
AMANDA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1105 CANTERBURY RD, RALEIGH, NC 27607-4148
(919) 616-8933
Mailing address
1105 CANTERBURY RD, RALEIGH, NC 27607-4148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13396
NC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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