Individual
LEEANNA DANIELLE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
230 LINDSAY RD, RAEFORD, NC 28376-6725
(910) 751-2300
Mailing address
231 S PARK WAY, SANFORD, NC 27332-1235
(910) 751-2300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12586
NC
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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