Individual
KATHY VANNACHITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27710-3038
(919) 684-4248
Mailing address
307 TRENT DR, DURHAM, NC 27710-3038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2023061514
NC
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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