Individual
FAITH DIANE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
809 HURLEY RD, DURHAM, NC 27704-5321
(919) 323-5699
Mailing address
809 HURLEY RD, DURHAM, NC 27704-5321
(919) 323-5699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36460564
NC
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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