Individual
GEANDA TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 DANUBE LN, APARTMENT #823, DURHAM, NC 27704-1845
(919) 237-2112
Mailing address
4801 DANUBE LN, APARTMENT #823, DURHAM, NC 27704-1845
(919) 237-2112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
252904
NC
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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