Individual
MISS KRISTEN MICHELLE DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, MM
Contact information
Practice address
2325 HANOVER DR, MONROE, NC 28110-0450
(704) 282-4758
Mailing address
619 PRICE DAIRY RD, MONROE, NC 28110-6984
(704) 999-9930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15037
NC
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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