Individual
JESSICA LAVALLEY RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 PETERS CREEK PKWY APT 420, WINSTON SALEM, NC 27101-3688
(757) 769-2675
Mailing address
806 GALES AVE, WINSTON SALEM, NC 27103-3704
(757) 769-2675
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
07/18/2019
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