Individual
DANIEL S SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 QUAKER BRIDGE RD, JACKSONVILLE, NC 28546-9350
(910) 750-9260
Mailing address
169 QUAKER BRIDGE RD, JACKSONVILLE, NC 28546-9350
(910) 750-9260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22373
NC
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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