Individual
AMANDA LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 AUDUBON DR STE 1, RAEFORD, NC 28376-7269
(910) 707-9835
Mailing address
244 AUDUBON DR STE 1, RAEFORD, NC 28376-7269
(910) 707-9835
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
75400
NC
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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