Individual
MS. MELISSA MURIEL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
216 E CHATHAM ST, CARY, NC 27511-3499
(919) 466-9494
Mailing address
4635 VENDUE RANGE DR, RALEIGH, NC 27604-5079
(919) 264-1652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13080
NC
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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