Individual
JOHN MARTIN DESALVO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
3455 POLO RD STE 107, WINSTON SALEM, NC 27106-4860
(336) 899-8844
Mailing address
3455 POLO RD STE 107, WINSTON SALEM, NC 27106-4860
(336) 899-8844
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10673
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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