Individual
MAKESIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 E MINE ST, ASHEBORO, NC 27205-7258
(336) 521-4762
Mailing address
1141 E MINE ST, ASHEBORO, NC 27205-7258
(336) 521-4762
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FCL-076-035
NC
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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