Individual
KESHANDA IESHA PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 W BROAD ST, SAINT PAULS, NC 28384-1403
(910) 740-7326
Mailing address
PO BOX 946, SAINT PAULS, NC 28384-0946
(910) 740-7326
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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