Individual
INNA DOROKHOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4108 LITTLETON DR, RALEIGH, NC 27616-8374
(919) 518-3946
Mailing address
4108 LITTLETON DR, RALEIGH, NC 27616-8374
(919) 518-3946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
40327794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40327794
DMA NC TRACKS
NC
Enumeration date
10/27/2015
Last updated
10/27/2015
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