Individual
NITA MORAN-FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 JUNIPER DR, FAYETTEVILLE, NC 28304-1911
(910) 379-7101
Mailing address
1109 JUNIPER DR, FAYETTEVILLE, NC 28304-1911
(910) 379-7101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20436
NC
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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