Individual
KAFFIA RADIANCE JENNIFER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 YELLOWSTONE CT APT D, GASTONIA, NC 28054-1738
(602) 502-4557
Mailing address
1812 YELLOWSTONE CT APT D, GASTONIA, NC 28054-1738
(602) 502-4557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20154
NC
374J00000X
Doula
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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