Individual
KARRON JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 CHARLESTOWNE CIR, WINSTON SALEM, NC 27103-5717
(336) 301-9442
Mailing address
140 CHARLESTOWNE CIR, WINSTON SALEM, NC 27103-5717
(336) 301-9442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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