Individual
NIA STIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 LLOYD ST STE 130, CARRBORO, NC 27510-1855
(718) 285-2694
Mailing address
209 LLOYD ST STE 130, CARRBORO, NC 27510-1855
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
271061
NC
Other
Enumeration date
03/06/2021
Last updated
03/08/2021
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