Individual
DEIDRE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-0280
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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