Individual
JASON ELISEO TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
6200 RAMSEY ST, FAYETTEVILLE, NC 28311-9314
(910) 822-7722
Mailing address
6200 RAMSEY ST STE 150, FAYETTEVILLE, NC 28311-9314
(910) 822-7722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11853
NC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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