Individual
MS. LEONNIE BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT, CT
Contact information
Practice address
10931 RAVEN RIDGE RD STE 103, RALEIGH, NC 27614-6499
(919) 865-6900
Mailing address
4205 COBIA CT APT A, RALEIGH, NC 27604-7217
(704) 606-9339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14883
LMBT #
NC
Enumeration date
12/22/2022
Last updated
12/22/2022
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