Individual
BRENT W DESKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
2800 HERMITAGE DR, WINSTON SALEM, NC 27103-4206
(336) 995-7902
Mailing address
2800 HERMITAGE DR, WINSTON SALEM, NC 27103-4206
(336) 995-7902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11671
NC
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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