Individual
AINSLEY MARIE BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-5139
Mailing address
11 PLUMAS DR, DURHAM, NC 27705-6196
(954) 470-7221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
352222
NC
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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