Individual
JADE PORCIUNCULA RAYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5317 HIGHGATE DR, SUITE 117, DURHAM, NC 27713-6622
(919) 361-2644
(919) 484-0849
Mailing address
5317 HIGHGATE DR, SUITE 117, DURHAM, NC 27713-6622
(919) 361-2644
(919) 484-0849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090285
MI
Other
Enumeration date
08/18/2007
Last updated
07/11/2012
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