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Individual

MRS. BETTY MARIA CULVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7309 HUNT VALLEY TRAIL, WENDELL, NC 27591
(919) 365-4690
(919) 366-9303
Mailing address
7309 HUNT VALLEY TRAIL, WENDELL, NC 27591
(919) 365-4690
(919) 366-9303

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL092050
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7802787
NC
Enumeration date
10/29/2007
Last updated
10/29/2007
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