Individual
TIJUANA DEL ROYA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 ROBESON ST STE 1, FAYETTEVILLE, NC 28305-5500
(109) 491-3069
(910) 229-2143
Mailing address
2413 ROBESON ST STE 1, FAYETTEVILLE, NC 28305-5500
(910) 491-3069
(910) 229-2143
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5490
NC
Other
Enumeration date
01/22/2020
Last updated
05/29/2020
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