Individual
MS. MARIAM MEKROUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7834 HIGHWAY 73, STANLEY, NC 28164-8719
(704) 400-4276
Mailing address
20420 W CATAWBA AVE, CORNELIUS, NC 28031-5259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15330
NC
Other
Enumeration date
01/13/2016
Last updated
04/04/2016
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