Individual
JORDAN CAROLINE PARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 BALLYCLARE CT, RALEIGH, NC 27614-7167
(919) 793-3412
Mailing address
1416 BALLYCLARE CT, RALEIGH, NC 27614-7167
(919) 793-3412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
227800000X
Certified Respiratory Therapist
—
—
Other
Enumeration date
04/13/2021
Last updated
06/09/2021
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