Individual
ATHENA MIKAILA CAPACITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W CAROLINIAN CIR, NAGS HEAD, NC 27959-8707
(252) 305-5677
Mailing address
201 W CAROLINIAN CIR, NAGS HEAD, NC 27959-8707
(252) 305-5677
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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