Individual
OLEN OMARI MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4113 LAWNDALE DR, GREENSBORO, NC 27455-1889
(336) 361-1790
Mailing address
4113 LAWNDALE DR, GREENSBORO, NC 27455-1889
(336) 361-1790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19656
NC
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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