Individual
MISS KIMBERLY JUANTRICIA MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
420 LAKEVIEW DR, WADESBORO, NC 28170-9480
(704) 690-3120
Mailing address
420 LAKEVIEW DR, WADESBORO, NC 28170-9480
(704) 690-3120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69499
NC
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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