Individual
ORIANA T'-IE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
10260 STROME AVE APT 207, RALEIGH, NC 27617-4373
(910) 434-0335
Mailing address
10260 STROME AVE APT 207, RALEIGH, NC 27617-4373
(910) 434-0335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10713
NC
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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