Individual
ANA TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8315
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1505154
NC
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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