Individual
VERONICA RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
5831 FINESTRA WAY, RALEIGH, NC 27610-4198
(919) 389-6141
Mailing address
5831 FINESTRA WAY, RALEIGH, NC 27610-4198
(919) 389-6141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16730
NC
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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