Individual
TRISTA A PETRELLA-MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMBT
Contact information
Practice address
3022 STEEPLE CHASE CT, JACKSONVILLE, NC 28546-6939
(910) 381-0265
Mailing address
3022 STEEPLE CHASE CT, JACKSONVILLE, NC 28546-6939
(910) 381-0265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22319
NC
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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