Most Relevant Information
Provider Data
| NPI Number: | 1003582909 |
| Provider Name: | MIHWA K ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | LMBT1302 |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
260 ROBESON ST
FAYETTEVILLE
NC
283015573
Practice Location Phone/Fax
| Phone: | 9107977193 |
| Fax: | 9104263792 |
Provider Mailing Location
260 ROBESON ST
FAYETTEVILLE
NC
283015573
Provider Mailing Phone/Fax
| Phone: | 9107977193 |
| Fax: | 9104263792 |