Individual
MRS. JAMELIA D PTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
8402 RAMATH DR, CHARLOTTE, NC 28211-5695
(843) 475-7828
Mailing address
8402 RAMATH DR, CHARLOTTE, NC 28211-5695
(843) 475-7828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12046
NC
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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