Individual
ERIN LAYNE REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
6754 BUFFALO RD, SELMA, NC 27576-6429
(919) 631-8330
Mailing address
6754 BUFFALO RD, SELMA, NC 27576-6429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17416
NC
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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