Individual
MISS CHARDENA JOE'NEKE PETEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W THIGPEN RD, CONETOE, NC 27819
(252) 343-9793
Mailing address
PO BOX 1, CONETOE, NC 27819-0001
(252) 343-9793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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