Individual
ALICE KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2837B DAISY LN N, WILSON, NC 27896-6942
(252) 206-1900
Mailing address
412 S WALNUT ST, PRINCETON, NC 27569-9301
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
7344
NC
225700000X
Massage Therapist
Primary
7344
NC
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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