Individual
TAMERA RENEE POU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 GRESHAM LAKE RD STE 113, RALEIGH, NC 27615-4131
(919) 977-5993
Mailing address
3209 GRESHAM LAKE RD STE 113, RALEIGH, NC 27615-4131
(919) 977-5993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66483
NC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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