Individual
MRS. SANDRA ANN TITKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 TIDALWALK DR, WILMINGTON, NC 28409-4964
(919) 818-0638
Mailing address
1204 TIDALWALK DR, WILMINGTON, NC 28409-4964
(919) 818-0638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03357
NC
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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