Individual
MRS. COLLETTA LAVINA REDMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 TARAS TRACE DR, STATESVILLE, NC 28625-8296
(704) 883-9621
Mailing address
2238 TARAS TRACE DR, STATESVILLE, NC 28625-8296
(704) 883-9621
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
0000000
NC
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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