Individual
GLENDA S WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMBT
Contact information
Practice address
110 W KING ST STE 2, KINGS MOUNTAIN, NC 28086-3437
(704) 739-3373
(704) 739-3918
Mailing address
107 COUNTRY MEADOWS LN, KINGS MOUNTAIN, NC 28086-7783
(704) 473-4720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02832
NC
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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