Individual
MRS. LISA M JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 SKIPPER RUN SW, SUPPLY, NC 28462
(910) 842-6769
Mailing address
1276 SKIPPER RUN SW, SUPPLY, NC 28462
(910) 842-6769
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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