Individual
TRACY RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3015 KINGFISHER DR, FAYETTEVILLE, NC 28306-9189
(910) 973-0346
Mailing address
PO BOX 65561, FAYETTEVILLE, NC 28306-5561
(910) 973-0346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13709
NC
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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