Individual
MISHA MONETTE SYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 OLD GRANTHAM RD, GOLDSBORO, NC 27530-8942
(919) 394-3202
Mailing address
1515 OLD GRANTHAM RD, GOLDSBORO, NC 27530-8942
(919) 394-3202
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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