Individual
TREVOR JOSEPH DUBOSE KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
5102 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7054
(907) 750-0706
Mailing address
6030 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-3540
(907) 750-0706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17623
NC
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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