Individual
KIESHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLMBT# 13715
Contact information
Practice address
5007 SOUTHPARK DR STE 130, DURHAM, NC 27713-7739
(919) 572-2312
Mailing address
1014B E GEER ST, DURHAM, NC 27704-5023
(919) 599-8534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13715
NC
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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