Individual
LATIA DONYELLE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 PENNY RD STE 202, HIGH POINT, NC 27265-8123
(336) 949-7525
Mailing address
2415 PENNY RD STE 202, HIGH POINT, NC 27265-8123
(336) 949-7525
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18824
NC
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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