Individual
LISA DIANNE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 THURSTON ST, WINSTON SALEM, NC 27103-1731
(336) 283-5027
Mailing address
3932 PALLAS WAY APT 3D, HIGH POINT, NC 27265-3641
(336) 695-6267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15385
NC
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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