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Individual

TOM BACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4018 HOUNDS CHASE DR, WILMINGTON, NC 28409-3274
(910) 232-3776
Mailing address
4018 HOUNDS CHASE DR, WILMINGTON, NC 28409-3274
(910) 232-3776

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8685
NC

Other

Enumeration date
06/13/2023
Last updated
06/13/2023
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