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Individual

AMBER M SELF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 ASHVILLE AVE, CARY, NC 27518-6131
(919) 454-4997
Mailing address
5120 WOLCOTT CT, FUQUAY VARINA, NC 27526-8465
(919) 454-4997

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
CASH ONLY
NC
Enumeration date
12/09/2021
Last updated
12/09/2021
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