Individual
MRS. MONICA RAE POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1442 N BROAD ST STE 3, TAZEWELL, TN 37879-4362
(423) 626-3996
Mailing address
1442 N BROAD ST STE 3, TAZEWELL, TN 37879-4362
(423) 626-3996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000011018
TN
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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