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Organization
SELF WELLNESS & HEALTH, PLLC
Active
Organization
SELF WELLNESS & HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GAFFNEY FNP-BC (MEMBER/ ORGANIZER)
(336) 399-7716
Entity
Organization
Contact information
Practice address
4134 MACARTHUR ST, WINSTON SALEM, NC 27107-6124
(336) 399-7716
Mailing address
4134 MACARTHUR ST, WINSTON SALEM, NC 27107-6124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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