Individual
JACQUELINE DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WELLSPRING DR, HOLLY SPRINGS, NC 27540-9323
(919) 830-6877
Mailing address
125 WELLSPRING DR, HOLLY SPRINGS, NC 27540-9323
(919) 830-6877
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
Other
Enumeration date
12/06/2013
Last updated
12/10/2013
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