Individual
DESTINY GUADALUPE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 LITTLETON ST, MIDWAY PARK, NC 28544-1712
(279) 210-2695
Mailing address
106 LITTLETON ST, MIDWAY PARK, NC 28544-1712
(279) 210-2695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22572
NC
225700000X
Massage Therapist
84112
CA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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