Individual
MRS. LILLIE TASHEYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
14 CONSULTANT PL STE 250, DURHAM, NC 27707-6320
(919) 339-1835
(919) 629-4050
Mailing address
PO BOX 3165, CHAPEL HILL, NC 27515-3165
(919) 503-7483
(919) 629-4050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0277581
NY
225700000X
Massage Therapist
Primary
18059
NC
Other
Enumeration date
06/21/2016
Last updated
07/12/2023
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