Individual
MS. LISA CLENDENNEN GUBICZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 DAINGERFIELD DR, RALEIGH, NC 27616-8988
(919) 819-0023
Mailing address
3104 DAINGERFIELD DR, RALEIGH, NC 27616-8988
(919) 819-0023
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
102234
NC
Other
Enumeration date
02/23/2022
Last updated
03/14/2022
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