Individual
THURLENE T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4974 ROBIN ST, FAYETTEVILLE, NC 28304-2251
(910) 676-3365
Mailing address
4974 ROBIN ST, FAYETTEVILLE, NC 28304-2251
(910) 676-3365
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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