LASTAZIA BACKUS

SMITHFIELD, NC
NPI1073119079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: NC  17361)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
LASTAZIA BACKUS
3560 US HIGHWAY 301 S
SMITHFIELD, NC 27577-9495
Phone number: 919-710-9895
Mailing Address
LASTAZIA BACKUS
PO BOX 2962
SMITHFIELD, NC 27577-2962
Phone number:
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