Individual
DAYNE DELABASTIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5156 NC HIGHWAY 42 W, GARNER, NC 27529-8417
(919) 329-5000
(919) 329-5300
Mailing address
935 SHOTWELL RD, SUITE 108, CLAYTON, NC 27520-5597
(919) 550-0821
(919) 550-0735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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