Individual
PATRICIA QUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #7975
Contact information
Practice address
817 MAUREPAS DR, KNIGHTDALE, NC 27545-8682
(919) 995-2899
Mailing address
817 MAUREPAS DR, KNIGHTDALE, NC 27545-8682
(919) 995-2899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7975
NC
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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