Individual
LISA DANIELLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 HARVEST GROVE CT, HOPE MILLS, NC 28348-9272
(910) 364-5219
Mailing address
1014 HARVEST GROVE CT, HOPE MILLS, NC 28348-9272
(910) 364-5219
(866) 704-9129
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HC4287
NC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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