Individual
JEANIE K DEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 COMFORT LN, MAGGIE VALLEY, NC 28751-5501
(828) 335-2877
Mailing address
PO BOX 2084, MAGGIE VALLEY, NC 28751-2084
(828) 335-2877
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NC
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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