Individual
EARL JR LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1995 PLEASANT ST # 12115, WINSTON SALEM, NC 27107-2386
(743) 337-1936
Mailing address
PO BOX 12115, WINSTON SALEM, NC 27117-2115
(743) 337-1936
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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