Individual
CAMIEKO CHANTESE LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
(866) 389-2727
Mailing address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018941
NC
363LF0000X
Family Nurse Practitioner
LUCK-01RHH
NC
Other
Enumeration date
09/01/2023
Last updated
03/06/2025
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