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Individual

KATHLEEN VAJDA SNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
299062
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012939
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC003827
MD

Other

Enumeration date
10/09/2019
Last updated
08/04/2021
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