Individual
JESSI-MARIE TAITAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8800 HARVEST OAKS DR STE 100, RALEIGH, NC 27615-2075
(910) 920-8821
Mailing address
8800 HARVEST OAKS DR STE 100, RALEIGH, NC 27615-2075
(910) 920-8821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20068
NC
Other
Enumeration date
09/22/2025
Last updated
11/05/2025
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