Individual
YOLANDA FAYE BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 TRIANA COURT, RALEIGH, NC 27610-6483
(252) 267-2163
Mailing address
4107 TRIANA COURT, RALEIGH, NC 27610-6483
(252) 267-2163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68283
NC
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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