Individual
HAYDE L CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
6791 OVERHILLS RD, SPRING LAKE, NC 28390-8873
(910) 704-2220
Mailing address
81 LINDLEY CT, CAMERON, NC 28326-6170
(928) 230-5017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20124
NC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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