Individual
CHRISTIAN LANNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 WILL COMBS HOLLOW RD, VILAS, NC 28692
(336) 682-7492
Mailing address
515 WILL COMBS HOLLOW RD, VILAS, NC 28692
(336) 682-7492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17024
NC
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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