Individual
ODETTE BERINYUY BAGOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
84 RED CEDAR WAY, FUQUAY VARINA, NC 27526-4538
(240) 614-5324
Mailing address
84 RED CEDAR WAY, FUQUAY VARINA, NC 27526-4538
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
320416
NC
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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