Individual
MR. JONATHAN LEE WOOLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
3035 BOONE TRAIL EXT STE A, FAYETTEVILLE, NC 28304-3860
(910) 920-1165
Mailing address
6403 HIDDEN LAKE LOOP, 18, FAYETTEVILLE, NC 28304-2878
(910) 527-9175
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13933
NC
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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