Individual
MARY GRAY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1390 CAPITAL BLVD, RALEIGH, NC 27603-1118
(919) 256-2180
Mailing address
1390 CAPITAL BLVD, RALEIGH, NC 27603-1118
(919) 256-2180
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
45002
NC
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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