Individual
JESSICA GRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
614 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3718
(503) 423-7315
Mailing address
614 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3718
(503) 423-7315
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7438967-4701
UT
Other
Enumeration date
11/16/2010
Last updated
04/03/2012
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