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Organization
3EHOME VISITING PROVIDER LLC
Active
Organization
3EHOME VISITING PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMISSIE SOLOMON APRN (NURSE PRACTITIONER)
(702) 328-1646
Entity
Organization
Contact information
Practice address
7614 CEDAR CHASE DR, GREENSBORO, NC 27455-8385
(702) 328-1646
Mailing address
7614 CEDAR CHASE DR, GREENSBORO, NC 27455-8385
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/03/2022
Last updated
10/04/2022
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