Individual
RAKENDRIA WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NC HWY 45 S, COFIELD, NC 27922-0000
(252) 484-0739
Mailing address
PO BOX 31, MERRY HILL, NC 27957-0031
(252) 484-0739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/20/2014
Last updated
12/14/2016
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