Individual
KEISHA DELORES CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 N ROXBORO ST, DURHAM, NC 27704-2767
(919) 220-4224
(919) 220-7390
Mailing address
3505 N ROXBORO ST, DURHAM, NC 27704-2767
(919) 220-4224
(919) 220-7390
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
254629
NC
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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