Individual
LEAH MAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 788-1568
Mailing address
1507 COURTLAND DR, RALEIGH, NC 27604-1318
(919) 632-2875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14763
NC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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