Individual
DAMESHA SYLINA-JULIET IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 W BROAD ST, STATESVILLE, NC 28677-5257
(980) 495-8720
Mailing address
2675 COURT DR # B, GASTONIA, NC 28054-1478
(704) 824-4999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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