Individual
CORAL ESPARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2944 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5415
(910) 670-0582
Mailing address
5994 BLUE TEAL CT, FAYETTEVILLE, NC 28304-5680
(210) 823-3957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17851
NC
Other
Enumeration date
04/02/2020
Last updated
10/16/2023
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