Individual
MRS. ERICKIA DESHONTELLE MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
207 W 29TH ST, LUMBERTON, NC 28358-2901
(910) 618-5606
Mailing address
106 CLYDE CIRCLE, LUMBERTON, NC 28358
(910) 225-9752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172654
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172654
RN LICENSE
NC
Enumeration date
12/26/2012
Last updated
02/19/2013
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