Individual
TERESA OLIVER IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 QUAIL OAKS DR, GREENSBORO, NC 27405-2958
(336) 894-0202
Mailing address
2714 QUAIL OAKS DR, GREENSBORO, NC 27405-2958
(336) 894-0202
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NC
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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