Individual
MS. SHAKIMA NICOLE DENISE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 EXPOSITION PLACE, RALEIGH, NC 27615
(919) 539-5343
Mailing address
1917 BETHLEHEM RD, KNIGHTDALE, NC 27545-9339
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
NC
225000000X
Orthotic Fitter
Primary
HIYIUACYEJ
NC
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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