Individual
NIKIESHA LISETTE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11553 OLD 125 RD, SCOTLAND NECK, NC 27874-9242
(252) 883-1491
Mailing address
11553 OLD 125 RD, SCOTLAND NECK, NC 27874-9242
(252) 883-1491
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
000009988103
NC
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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