Individual
WANDA FAYE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 BRIDGES ST, MOREHEAD CITY, NC 28557-3758
(252) 726-6780
(252) 726-6780
Mailing address
120 BOGUE LANDING DR, NEWPORT, NC 28570-9313
(252) 726-6780
(252) 726-6780
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
HC4175
NC
374U00000X
Home Health Aide
Primary
HC4175
NC
376K00000X
Nurse's Aide
HC4175
NC
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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