Individual
FAITH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-0278
(919) 793-1546
Mailing address
PO BOX 35393, FAYETTEVILLE, NC 28303-0393
(919) 793-1546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12878
NC
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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