Individual
KEALYA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 HEALY DR STE 109, WINSTON SALEM, NC 27103-1403
(336) 909-8349
Mailing address
3830 CRESTWELL COVE CT, WINSTON SALEM, NC 27103-7093
(336) 909-8349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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