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Individual

RENEE ULULANA TOBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
610 N 11TH ST, BESSEMER CITY, NC 28016-2008
(704) 729-6265
Mailing address
610 N 11TH ST, BESSEMER CITY, NC 28016-2008
(704) 729-6265

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6514
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6514
PROFESSIONAL LICENSE
NC
Enumeration date
09/21/2006
Last updated
10/20/2011
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