Individual
WYVONDALYNN TAMARA ONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 RED FIELD LN, TIMBERLAKE, NC 27583-7396
(919) 824-0600
Mailing address
91 RED FIELD LN, TIMBERLAKE, NC 27583-7396
(919) 824-0600
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
381139
NC
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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