Alicia Bonner
Massage Therapist in Greensboro, NC. Individual provider (NPI-1).
NPI number1558066936
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1558066936
- Entity type
- Individual (NPI-1)
- Name
- Alicia Bonner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 17228 | NC | Yes |
Practice location
14 Aspen Dr Apt BGreensboro, NC 27409-3146
Phone 336-543-6929
Mailing address
14 Aspen Dr Apt BGreensboro, NC 27409-3146
Phone 336-543-6929
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