Individual
AISHAH J HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 N ROXBORO ST, DURHAM, NC 27704-2767
(919) 220-4224
Mailing address
11701 COPPERGATE DR UNIT 103, RALEIGH, NC 27614-8559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
85060
NC
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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