Individual
STACY BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3715 AIRPORT BLVD NW STE F, WILSON, NC 27896-7389
(919) 709-5785
Mailing address
5127 REDMON RD, ELM CITY, NC 27822-8247
(919) 709-5785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20431
NC
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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