Individual
MRS. DEMETRIS DEVANE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
508 FULTON ST # 117C, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5913
Mailing address
508 FULTON ST # 117C, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5913
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
816
NC
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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