Individual
MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 NEW RAND RD, GARNER, NC 27529-4016
(919) 400-0669
Mailing address
305 NEW RAND RD, GARNER, NC 27529-4016
(919) 400-0669
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
8074820
NC
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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