Individual
DETORIA WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPT
Contact information
Practice address
300 HAMMOCK LANE, RAEFORD, NC 28376
(910) 613-0787
(910) 613-0379
Mailing address
300 HAMMOCK LN, RAEFORD, NC 28376-2738
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
03/20/2024
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