Individual
MRS. CARMEN GLORIA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2221 BRAGG BLVD, FAYETTEVILLE, NC 28303-4253
(910) 484-6827
Mailing address
3423 DUNN RD, EASTOVER, NC 28312-8899
(910) 484-6827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1095
NC
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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