Individual
ANTOINETTE BASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 W CONE BLVD, GREENSBORO, NC 27408-4042
(336) 383-8326
Mailing address
2935 W VANDALIA RD APT 3F, GREENSBORO, NC 27407-7449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19207
NC
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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