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Ms. Maya Alfridra Gilliam, NC#11053
Massage Therapist in Winston Salem, North Carolina
NPI 1578827382

Maya Alfridra Gilliam is a Massage Therapist based in Winston Salem, NC. Maya Alfridra Gilliam practices in Winston Salem, NC and has the professional credentials of NC#11053. The NPI Number for Maya Alfridra Gilliam is 1578827382 and holds a License No. 11053 (North Carolina).

The current practice location address for Maya Alfridra Gilliam is 707 N Main St, Winston Salem, NC and can be reached out via phone at 336-793-2991 and via fax at 866-440-0711.

Location: 707 N Main St, Winston Salem, NC, 27101-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578827382
Provider Name
Maya Alfridra Gilliam
Credential
NC#11053
Provider Entity Type
Individual
Gender
Female
Address
707 N Main St, Winston Salem, NC, 27101-3028
Phone Number
336-793-2991
Fax Number
866-440-0711
Provider Enumeration Date
06/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 N Main St
City
Winston Salem
State
North Carolina
Zip
27101-3028
Phone Number
336-793-2991
Fax Number
866-440-0711
person
Provider Business Mailing Address Details
Address
707 N Main St
City
Winston Salem
State
North Carolina
Zip
27101-3028
Phone Number
336-793-2991
Fax Number
866-440-0711
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11053 (North Carolina)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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