Individual
DEJA MONIQUE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1243 E SPRAGUE ST, WINSTON SALEM, NC 27107-3432
(704) 904-0021
Mailing address
1243 E SPRAGUE ST, WINSTON SALEM, NC 27107-3432
(704) 904-0021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19651
NC
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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