Individual
ALEXA KAITLIN HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7019 HARPS MILL RD STE 200, RALEIGH, NC 27615-3248
(919) 850-1300
Mailing address
120 COMPTONFIELD DR, DURHAM, NC 27703-7796
(508) 789-3840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11643
NC
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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