Individual
REGINALD LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 HARGROVE RD APT 105, RALEIGH, NC 27604-2868
(919) 802-8364
Mailing address
4530 HARGROVE RD APT 105, RALEIGH, NC 27604-2868
(919) 802-8364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/08/2018
Last updated
04/08/2018
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