Individual
STANLEY J MARGERUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
309 S ELM ST, APEX, NC 27502-1801
(919) 694-7221
Mailing address
1103 LEXINGTON FARM RD, APEX, NC 27502-5306
(203) 223-2421
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16650
NC
Other
Enumeration date
12/04/2018
Last updated
06/11/2019
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