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Individual

TALEITHA FULLWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
U

Contact information

Practice address
701 GREEN VALLEY RD STE 100, GREENSBORO, NC 27408-7096
(800) 883-5170
Mailing address
701 GREEN VALLEY RD STE 100, GREENSBORO, NC 27408-7096
(800) 883-5170

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
P9C8R6J6
NC

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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