Individual
LINDA PEARL TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 TRALEE DR, SMITHFIELD, NC 27577
(919) 464-8112
(919) 300-1288
Mailing address
623 TRALEE DR, SMITHFIELD, NC 27577-9664
(919) 464-8112
(919) 300-1288
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/20/2016
Last updated
08/14/2018
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