Female

Revenda J. Morgan LMBT

Massage Therapist in Winston Salem, NC(View on Map)

Full Name

Revenda Ja-mell Morgan LMBT

NPI Number

1073284121

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/27/2021

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

08881

Contact
Information

Purpose

Mailing
Location

Address

1350 PLEASANT ST
1350 PLEASANT ST

City

Winston Salem
Winston Salem

State

NC
NC

Postal Code

27107-1433
27107-1433

Country

US
US

Telephone Number

(336) 251-4848
(336) 251-4848

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2021

Provider Address

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