Individual
THEODORE LAWSON QUEEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 DARBY GLEN LN, DURHAM, NC 27713-9427
(919) 328-9424
Mailing address
518 DARBY GLEN LN, DURHAM, NC 27713-9427
(919) 328-9424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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