Individual
ELIZABETH ANNE MYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1620 AMBER RIDGE LN APT T, RALEIGH, NC 27607-5057
(540) 336-8738
Mailing address
1620 AMBER RIDGE LN APT T, RALEIGH, NC 27607-5057
(540) 336-8738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19072
NC
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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