Individual
DALACESOPHIEA MAGDALANNA INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
624 S FAYETTEVILLE ST STE D, ASHEBORO, NC 27203-6582
(336) 257-1993
Mailing address
133 LOCH CT, ROCKY MOUNT, NC 27804-9181
(252) 624-4003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
336175
NC
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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