Individual
JONATHAN DAVILA PARTIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
4140 FERNCREEK DR STE 702, FAYETTEVILLE, NC 28314-2569
(910) 514-6251
Mailing address
650 MCKAY DR, SPRING LAKE, NC 28390-8622
(310) 612-5389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20413
NC
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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