Individual
MISS TINA MARIE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3632 SMITH ST, BETHEL, NC 27812-0000
(252) 917-7792
Mailing address
PO BOX 231, BETHEL, NC 27812-0231
(252) 917-7792
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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