Individual
CAROLYN DENISE HALIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3707 COLONIAL AVE, ROANOKE, VA 24018-4005
(540) 793-1318
Mailing address
3707 COLONIAL AVE, ROANOKE, VA 24018-4005
(540) 793-1318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001145401
VA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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