Individual
LEON BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 WREN ST, LUMBERTON, NC 28358-4162
(910) 736-2135
Mailing address
704 WREN ST, LUMBERTON, NC 28358-4162
(910) 736-2135
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770949992
—
NC
Enumeration date
01/05/2016
Last updated
01/05/2016
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