Individual
SANDREA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 W NORTHWEST BLVD, WINSTON SALEM, NC 27104-4314
(336) 257-8044
Mailing address
1613 W NORTHWEST BLVD, WINSTON SALEM, NC 27104-4314
(336) 257-8044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20176
NC
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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