Individual
LYNN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CHT
Contact information
Practice address
1329 S GLENBURNIE RD STE F, NEW BERN, NC 28562-2605
(252) 876-1479
Mailing address
1329 S GLENBURNIE RD STE F, NEW BERN, NC 28562-2605
(252) 876-1479
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15565
NC
Other
Enumeration date
08/10/2021
Last updated
01/05/2024
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