Individual
DEONDRA CARYN-NICOLE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4202 KELLYBROOK DR, CONCORD, NC 28025-7100
(704) 706-8584
Mailing address
4202 KELLYBROOK DR, CONCORD, NC 28025-7100
(704) 706-8584
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
367496
NC
Other
Enumeration date
07/04/2018
Last updated
03/18/2025
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