Individual
ELVIS MENDOZA-ROGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1716 WILLOW RD, GREENSBORO, NC 27401-3921
(336) 212-7614
Mailing address
1716 WILLOW RD, GREENSBORO, NC 27401-3921
(336) 212-7614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18352
NC
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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