Individual
LINDA PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 LEESBURG CT, FAYETTEVILLE, NC 28311-1236
(910) 489-9425
Mailing address
5405 LEESBURG CT, FAYETTEVILLE, NC 28311-1236
(910) 489-9425
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA767
NC
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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