Individual
RENNA ADAIRE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 WEBB OLIVER RD, HAMPTONVILLE, NC 27020-8273
(336) 469-1226
Mailing address
3705 WEBB OLIVER RD, HAMPTONVILLE, NC 27020-8273
(336) 469-1226
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC3418
NC
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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