Individual
LELA DAWN FORTUNE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15276 TOWNE GARDENS CT, HUNTERTOWN, IN 46748-9154
(828) 315-1379
Mailing address
15276 TOWNE GARDENS CT, HUNTERTOWN, IN 46748-9154
(828) 315-1379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21806385
IN
225700000X
Massage Therapist
3181
NC
225700000X
Massage Therapist
9911
TN
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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