Individual
IRENE FAITH SEVILLA-BINGEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
10461
Contact information
Practice address
114 SALEM TOWNE CT, APEX, NC 27502-2311
(919) 655-4384
Mailing address
107 GRAYSTAR RD, APEX, NC 27502-6424
(602) 690-3276
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10461
NC
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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