Individual
GENIA LARESE NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
897 GOLDEN PLUM LN, ZEBULON, NC 27597-9724
(910) 289-1767
Mailing address
897 GOLDEN PLUM LN, ZEBULON, NC 27597-9724
(910) 289-1767
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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