Individual
PRECIOUS WACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4104 SURLES CT STE 11, DURHAM, NC 27703-8239
(919) 790-0288
Mailing address
4104 SURLES CT STE 11, DURHAM, NC 27703-8239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
302727
NC
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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