Individual
MRS. JERILYNN LILES HESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3711 OLDRIDGE CT, CHARLOTTE, NC 28226-1115
(704) 542-2541
Mailing address
3711 OLDRIDGE CT, CHARLOTTE, NC 28226-1115
(704) 542-2541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2985
NC
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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