MS. Maya Alfridra Gilliam, NC11053
MS. Maya Alfridra Gilliam, NC11053 is a Massage Therapist in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.
- Licensed in
- NC
- In the registry since
- 2012
Practice location Address checks out
707 N Main StWinston Salem, NC 27101-3028
Phone: (336) 793-2991
Fax: (866) 440-0711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 11053 (NC) |
|---|
Record details
| NPI number | 1578827382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NC11053 |
| Sole proprietor | No |
| NPI enumerated | June 26, 2012 |
| Last updated in NPPES | June 26, 2012 |
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