Individual
DEEMA MAJED AL-GHANDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3542
Mailing address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
0010-11010
NC
Other
Enumeration date
04/21/2017
Last updated
03/31/2021
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