Individual
JUDY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MEMORY LN, ROCKINGHAM, NC 28379-7610
(910) 997-6978
Mailing address
166 MEMORY LN, ROCKINGHAM, NC 28379-7610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
08516
NC
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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