Individual
AKELA TASHAWNA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4100
Mailing address
1427 GREENOCK AVE, FAYETTEVILLE, NC 28304-2413
(910) 723-8428
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
291860
NC
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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