Individual
CHANEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19101 ROSE GARDEN LN, DURHAM, NC 27707-6805
(646) 961-5094
Mailing address
19101 ROSE GARDEN LN, DURHAM, NC 27707-6805
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20284
NC
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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