Individual
DANIEL JACOB NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3088
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20030
NC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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