Individual
TEASHA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 S DEVON ST, CHARLOTTE, NC 28213-5322
(805) 758-0137
Mailing address
3006 S DEVON ST, CHARLOTTE, NC 28213-5322
(805) 758-0137
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
084040
NC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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