Antoinette Bason
Massage Therapist in Greensboro, NC. Individual provider (NPI-1).
NPI number1861184822
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1861184822
- Entity type
- Individual (NPI-1)
- Name
- Antoinette Bason
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2023
- Certification date
- May 17, 2023
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 19207 | NC | Yes |
Practice location
2311 W Cone BlvdGreensboro, NC 27408-4042
Phone 336-383-8326
Mailing address
2935 W Vandalia Rd Apt 3fGreensboro, NC 27407-7449
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