Individual
BETH LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 3RD ST, PEMBROKE, NC 28372-7016
(910) 775-9547
Mailing address
111 VONDY RD, MAXTON, NC 28364-9049
(910) 775-9547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
05939
NC
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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