Individual
AYANNA JAMES KOZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01054
NC
Other
Enumeration date
10/10/2007
Last updated
12/05/2008
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