Individual
PEBBLES MUTCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
(910) 864-8222
Mailing address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
(910) 864-8222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
88062
NC
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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