Individual
MS. KETURAH ELIZABETH E HOSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 FAIRLAWN DR, WINSTON SALEM, NC 27106-3826
(336) 999-1968
Mailing address
2702 FAIRLAWN DR, WINSTON SALEM, NC 27106-3826
(336) 999-1968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16791
NC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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