Individual
CAROLYN FAYE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 MISS ELLIE DR, GREENSBORO, NC 27405-9617
(336) 944-8522
Mailing address
2104 MISS ELLIE DR, GREENSBORO, NC 27405-9617
(336) 944-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082694
—
NC
Enumeration date
03/04/2022
Last updated
03/04/2022
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