JOVHANNAH TISDALE, LMBT

Massage Therapist

Active Individual
NPI: 1588346027

Practice Address

1788 HERITAGE CENTER DR STE 202
Wake Forest, NC 27587

Phone: (919) 656-1088

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 20691 (NC)

Frequently Asked Questions

NPI 1588346027 is the National Provider Identifier for JOVHANNAH TISDALE, LMBT, a Massage Therapist provider located in Wake Forest, NC. This NPI was enumerated on August 3, 2023.
JOVHANNAH TISDALE, LMBT practices at 1788 HERITAGE CENTER DR STE 202, Wake Forest, NC 27587.

Quick Facts

NPI
1588346027
Type
Individual
Enumerated
Aug 3, 2023
Last Updated
Apr 20, 2024

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