Individual
JESSICA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
5843 RAMSEY ST, FAYETTEVILLE, NC 28311-3467
(910) 818-2513
Mailing address
5843 RAMSEY ST, FAYETTEVILLE, NC 28311-3467
(910) 818-2513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13537
NC
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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