Individual
CARRIE JIRKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 CHURCH ST NE, CONCORD, NC 28025-4763
(404) 421-7579
Mailing address
1623 FLOWERFIELD DR, CONCORD, NC 28025-7816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16030
NC
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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