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Individual

ZARA HENKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
309 S ELM ST, APEX, NC 27502-1801
(919) 817-9422
Mailing address
501 W CHATHAM ST APT G7, APEX, NC 27502-1475

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16612
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16612
LMBT
NC
Enumeration date
11/03/2018
Last updated
11/03/2018
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