Individual
MS. EDITH JOHANNA STRUIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607
(919) 787-3448
(919) 232-0006
Mailing address
5320 GOLDENGLOW WAY, RALEIGH, NC 27606
(919) 852-3633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013NA
—
NC
Enumeration date
10/13/2006
Last updated
07/08/2007
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