Individual
MISS NECHELLE LAVETTE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGENCY DIRECTOR
Contact information
Practice address
1001 S MARSHALL ST STE 20, WINSTON SALEM, NC 27101-5852
(336) 624-5604
Mailing address
1001 S MARSHALL ST STE 20, WINSTON SALEM, NC 27101-5852
(336) 624-5604
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3039
NC
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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