Individual
MS. MADRIAN SUWANNA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
503 NC HIGHWAY 210 N, SPRING LAKE, NC 28390-2709
(910) 670-4200
Mailing address
503 NC HIGHWAY 210 N, SPRING LAKE, NC 28390-2709
(910) 670-4200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22868
NC
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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