Individual
SHONDRA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4351 MAIN ST STE 105, HARRISBURG, NC 28075-7428
(980) 319-9506
Mailing address
4351 MAIN ST STE 105, HARRISBURG, NC 28075-7428
(980) 319-9506
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
14161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16141
NC LICENSED MASSAGE AND BODYWORK THERAPIST
NC
Enumeration date
11/10/2020
Last updated
11/10/2020
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