Individual
LEKEYSHA AYENUMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 HAMPSTEAD DR, HIGH POINT, NC 27260-4237
(336) 803-2908
(336) 905-7311
Mailing address
PO BOX 2383, JAMESTOWN, NC 27282-2383
(336) 803-2908
(336) 905-7311
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
HC5013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC5013
HOME CARE LICENSE NUMBER
NC
Enumeration date
04/20/2018
Last updated
04/20/2018
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