Individual
WALNER BIENAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 SOPHIA DR, JACKSONVILLE, NC 28540-5638
(910) 320-0078
Mailing address
48 SOPHIA DR, JACKSONVILLE, NC 28540-5638
(910) 320-0078
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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