Individual
LAURA LEE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 SIX FORKS RD, RALEIGH, NC 27609-5269
(919) 788-1568
Mailing address
1210 CHANEY RD, RALEIGH, NC 27606-1905
(919) 302-0098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
05561
NC
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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