Individual
MS. KATISHA DEANNA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 ROCK QUARRY RD, RALEIGH, NC 27610-8249
(919) 345-7830
Mailing address
6412 ROCK QUARRY RD, RALEIGH, NC 27610-8249
(919) 345-7830
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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