Individual
MRS. RHONDA K BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, WOC, CFM
Contact information
Practice address
8007 N POINT BLVD, SUITE F, WINSTON SALEM, NC 27106-3268
(336) 896-0408
(336) 896-0409
Mailing address
PO BOX 11348, WINSTON SALEM, NC 27116-1348
(336) 896-0408
(336) 896-0409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
052983
NC
224900000X
Mastectomy Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795454
—
NC
Enumeration date
08/02/2006
Last updated
03/25/2011
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