Individual
MISS ETHEL MAE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3607 PENN DR, DURHAM, NC 27703-3656
(919) 598-5191
Mailing address
3607 PENN DR, DURHAM, NC 27703-3656
(919) 598-5191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
32001509
NC
171W00000X
Contractor
Primary
32001509
NC
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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