Individual
BERNADETTE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601SIX FORK ROAD, SUITE 400, RALEIGH N.C, NC 27597
(804) 218-0745
(919) 676-5305
Mailing address
8601 SIX FORK ROAD, SUITE 400, RALEIGH N.C, NC 27597
(804) 218-0745
(919) 676-5305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
079668
NC
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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