Individual
TINA Y INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
1140 SHIPYARD BLVD, WILMINGTON, NC 28412-6439
(910) 332-0179
Mailing address
131 PINE CONE RD, WILMINGTON, NC 28409-5113
(910) 207-1198
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54097
NC
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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