Individual
CHRISTIANA ELISA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 SURTEES RD, WINSTON SALEM, NC 27104-2635
(980) 282-9141
Mailing address
152 SURTEES RD, WINSTON SALEM, NC 27104-2635
(980) 282-9141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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