Individual
ASHLEY LAUREN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3754 BREVARD RD STE 105, HORSE SHOE, NC 28742-8809
(828) 606-0258
Mailing address
33 L L MOORE RD, MILLS RIVER, NC 28759-8766
(828) 702-2564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19113
NC
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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