Individual
WANDA JACOBS HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 845-7990
Mailing address
8183 MCCLANAHAN DR, BROWNS SUMMIT, NC 27214-9813
(336) 845-7648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146588
NC
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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