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Individual

JUDI LYNN ERVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN LMBT

Contact information

Practice address
3007 CHINABERRY CT, MATTHEWS, NC 28104
(704) 293-4379
(704) 882-8586
Mailing address
3007 CHINABERRY CT, MATTHEWS, NC 28104
(704) 293-4379
(704) 882-8586

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6797
NC

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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