Individual
CLAIRE SANDRA NAMBOODRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 763-5522
(910) 763-0413
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 763-5522
(910) 763-0413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NAMBOODRI1996
NC
Other
Enumeration date
03/26/2024
Last updated
06/25/2024
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