Individual
FAREN ANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269805
NC
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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