Individual
MELISSA E BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLMBT
Contact information
Practice address
5 SILVA TERRA DR STE 110, WILMINGTON, NC 28412-2373
(910) 975-1932
Mailing address
5 SILVA TERRA DR STE 110, WILMINGTON, NC 28412-2373
(910) 975-1932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6107
NC
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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