Individual
MRS. VENUS MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1709 DANIELS FARM RD, MEBANE, NC 27302
(919) 304-3477
Mailing address
1709 DANIELS FARM RD, MEBANE, NC 27302
(919) 304-3477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4536
NC
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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