Individual
ASIYAH ZAHRA MIKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 TALL OAKS DR, DURHAM, NC 27713-9358
(919) 597-0443
Mailing address
516 TALL OAKS DR, DURHAM, NC 27713-9358
(919) 597-0443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218449
NC
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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