Individual
MARY VIRGINIA DEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
952 AVERY WARD RD, NAKINA, NC 28455-8815
(843) 602-5163
Mailing address
952 AVERY WARD RD, NAKINA, NC 28455-8815
(843) 602-5163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7984
SC
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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