Individual
MISS TAJA KEYARA GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2601 FIRELIGHT RD, RALEIGH, NC 27610-5815
(919) 345-5408
Mailing address
2601 FIRELIGHT RD, RALEIGH, NC 27610-5815
(919) 345-5408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18735
NC
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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